Board of Certified Direct-Entry Midwives Applications & Forms Initial Applications Procedures for Obtaining Certification By Examination as a Direct-Entry Midwife #08-4215, Revised 01/26/2017 Application for certification by examination. Procedures for Obtaining Certification By Credentials as a Direct-Entry Midwife #08-4198, Revised 01/26/2017 Application for certification by credentials. Application for Permit as a Direct-Entry Midwife Apprentice #08-4228, Revised 07/24/2020 Permit is valid for two years from the date issued. Notification of Addition to Primary Preceptor for Apprentice Permit Holder #08-4228c, Revised 10/29/2014 Application for Direct-Entry Midwife Apprentice Preceptor #08-4240, Revised 11/29/2012 Emergency Transport/Incident Report #08-4551, Revised 09/01/2010 Renewal Applications Biennial Certified Direct-Entry Midwife License Renewal Application #08-4256, Revised 10/28/2020 Miscellaneous Forms Request for Examination Review Change of Name Form Change of Address Form Request for License Verification Form Request Duplicate License Form Credit Card Payment Form