STATE OF NEVADA
JOE LOMBARDO
Governor
DR. KRISTOPHER SANCHEZ
Director

PERRY FAIGIN
NIKKI HAAG
MARCEL F. SCHAERER
Deputy Directors

JENNIFER R. PIERCE
Executive Director
DEPARTMENT OF BUSINESS AND INDUSTRY
OFFICE OF NEVADA BOARDS, COMMISSIONS AND COUNCILS STANDARDS
NEVADA SPEECH-LANGUAGE PATHOLOGY, AUDIOLOGY
AND HEARING AID DISPENSING BOARD

Application Payment - Information

All sections of the form are mandatory and must be completed. If you have any questions you may contact the board office at (775) 787-3421.

Standard Application Fee:
  • $250.00
  • $125.00 Military Fee
Provisional License Fee:
  • $250.00
  • $125.00 Military Fee
Temporary License Fee:
  • $200.00
  • $100.00 Military Fee
Standard Audiologist Application with Dispensing Endorsement Fee:
  • $300.00
  • $175.00 Military Fee

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Personal Information

Please complete the information below.

Application Fee

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Military Service or Veteran Status
Declaration
I declare, under penalty of perjury, all the information supplied herein is to the best of my knowledge true, accurate and complete.



Page Updated: 10/12/2022 11:38:39 AM