OAR 331-030-0040
Affidavit of Licensure

For the purpose of this rule, regulatory authority means an Oregon health professional regulatory board as defined in ORS 676.160 (Definitions for ORS 676.165 to 676.180), a regulatory authority in Oregon or another state or a regulatory authority in another country or territory.
(1) An authorization holder may request the Office to send an affidavit of licensure to another regulatory authority or individual. The following must be submitted to the Office:
(a) An application on a form prescribed by the Office;
(b) Two forms of identification listed in OAR 331-030-0000 (Application Requirements) (8); at least one must be photographic;
(c) Photocopies of identification listed in subsection (b) of this section must be submitted with the application if request is made through the mail; the photocopy must be legible; and
(d) The Office may require that an applicant present additional proof of identity pursuant to OAR 331-030-0000 (Application Requirements) (9).
(2) Unless otherwise notified by the Office, an applicant applying for an authorization from a program under the Office’s authority must arrange for the regulatory authority from which an affidavit of licensure is needed to forward directly to the Office a current and original “Affidavit of Licensure” signed by an authorized representative of the regulatory authority and affixed with an official seal or stamp to the affidavit of licensure. The applicant is responsible for payment of any fee the regulatory authority may assess for producing the affidavit of licensure.
(3) The Office may verify an applicant’s authorization to practice and determine an applicant’s qualifications and fitness to practice in a program administered by the Office by the following:
(a) An affidavit of licensure may be obtained by accessing the regulatory authority’s website by using an online verification system. The Office may assess an applicant a fee for obtaining affidavit of licensure.
(b) An affidavit of licensure may be electronically transmitted to the Office from the regulatory authority. The applicant is responsible for payment of any fee the originating regulatory authority may assess for producing the affidavit of licensure.
(4) An affidavit of licensure document hand delivered or mailed by the applicant and not mailed directly or transmitted through an approved means to the Office from the regulatory authority will invalidate qualification for authorization to practice, scheduling, and examination.
NOTE: The Affidavit of Licensure may be referred to as a “Verification of Licensure,” “License Verification,” “Certification of Licensure,” or “License Certification” by other regulatory authorities. All terms have the same purpose in disclosing an applicant’s licensing status and history.

Source: Rule 331-030-0040 — Affidavit of Licensure, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=331-030-0040.

Last Updated

Jun. 8, 2021

Rule 331-030-0040’s source at or​.us