Occupational Therapy Board of New Zealand

Forms

Registration Forms

Payment form (PDF, 193KB, 1 page)
Please complete this when sending in a payment to us.

Fitness Reference Form (DOC, 411KB, 4 pages)
Reference form to help support your application for registration.

Request for Criminal Conviction History – Third Party (PDF, 2,140KB, 5 pages)
You will need to complete this form and return it to us when you are registering with us so we can apply for a criminal convictions history check on your behalf.

Return to practice plan template  (DOC, 22.6KB, 3 pages)
If you have been out of the workforce for over three years or you haven’t worked as an occupational therapist for over five years then you will need to complete a return to practice plan.

International English Language Testing System Exemption Application (DOC, 224KB, 2 pages)
For New Zealand Graduates who do not speak English as their primary language, but wish to apply for an exemption to the English Language Requirements.

International English Language Testing Systems Exemption Application Endorsement Form (DOC, 224KB, 3 pages)
This from will need to be completed by your Clinical Placement Supervisor and returned with the International English Language Testing System Exemption Application  if you wish to be exempt from English language testing

Other Forms

Request for Verification of Registration Certificate (PDF, 215KB, 1 page)
If you would like a letter of good standing you must complete this form and send in the appropriate fee

Application for Removal of Conditions on General Scope of Practice (DOC, 416KB, 7 pages)
Use this form to apply for removal of a standard condition from your scope of practice.

Competence Assessor Expression of Interest Form (PDF, 218KB, 2 pages)
If you would like to become a competence assessor complete this form and return it to us

Competence Assessors Self Assessment Marking Grid (DOC, 864KB, 3 pages)
Competence Assessors use this form to communicate your competence to the Board.

Competence Assessors _ Removal of Condition Template (DOC, 208KB, 1 page)
Competence Assessors will complete this form and send it the Board after assessing your application for removal of conditions.

Expression of Interest Form for Supervisors (DOC, 280KB, 1 page)
If you wish to make your supervision services publicly available, complete this form and return it to enquiries@otboard.org.nz.

Register Maintenance Form 2019/2020  
(PDF, 121KB, 2 Pages) Complete this form if you are registered but non-practising, and would like to remain on the register for the 2019/2020 practising year

My Continuing Competence Form (DOC, 114KB, 8 pages)
To help you record your development against our competencies while we transition to the new ePortfolio tool we have created this form

Statutory Declaration (DOC, 207KB, 2 pages)
A form you need to complete when registering

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