37M-308 (Revised 01/2020)
INITIAL LICENSE ISSUANCE
Instructions and Important Information
Read Carefully Before Completing Your Application
ELIGIBILITY FOR INITIAL LICENSE ISSUANCE AND TIME LIMIT
You must have passed the required examination(s) before your Application for Initial License
Issuance can be accepted by the Board. You must apply and submit the initial license fee within
one year after you are notified that you have successfully completed the examination
requirements. Otherwise your application will be considered abandoned and you will need to
submit a new Application for Licensure and fee.
HOW TO APPLY
• Complete the attached application.
• FEE: Attach a check or money order in the amount shown below payable to
“Behavioral Sciences Fund”:
License Type Initial License Fee License Type Initial License Fee
• Submit your application and fee to the address below:
Board of Behavioral Sciences
1625 North Market Blvd., Suite S200
Sacramento CA 95834
TO CONFIRM RECEIPT OF APPLICATION:
To confirm receipt, mail your application using a method that includes tracking. You may also
contact your bank to see if your check has been cashed.
If your address has changed, be sure to update it ASAP online at www.breeze.ca.gov.
APPLICATION PROCESSING TIME
Allow 30 working days for processing. Once your request has been approved your license will first
appear online at www.breeze.ca.gov, and then you will receive a license certificate in the mail.
Please visit the Contact Us link at www.bbs.ca.gov and select an option under “Message the