The Board of Psychologist and Psychological Associate Examiners Initial Applications Application for Licensure as a Psychological Associate #08-4362, Revised 09/28/2023 Application for Licensure as a Psychologist by Credentials #08-4313, Revised 09/28/2023 Application for Licensure as a Psychologist by Examination #08-4113, Revised 09/28/2023 Application for Psychologist Courtesy License #08-4230, Revised 09/28/2023 Request for Extension on Supervision Plan #08-4520, Revised 09/28/2023 The Request for Extension on Supervision Plan form may also be initiated online via the MY LICENSE self-service portal. Request for Alternate Supervision Plan #08-4201, Revised 09/28/2023 Renewal Applications Psychologist License Renewal #08-4238, Revised 05/23/2023 Psychological Associate License Renewal #08-4286, Revised 05/23/2023 Miscellaneous Forms Courtesy Monthly Report #08-4758, Revised 09/28/2023 The Courtesy Monthly Report form may also be initiated online via the MY LICENSE self-service portal. Division forms may be found in the CBPL Quick links, located in the sidebar to the right.