Missouri Occupational Therapist Licensing Guide

Missouri uses a paper application mailed to the board (notarized). Missouri endorsement uses the 'application for licensure - reciprocity' pdf (mo 375-1095, rev 9-2025) submitted with a check/money order, fingerprinting, and the completed jurisprudence exam. the mopro online portal is primarily for renewals and account/contact management; initial licensure-by-reciprocity is a paper/pdf process. endorsement process for occupational therapists already licensed in another state. You'll need to submit your completed application along with supporting documents and the $30 application fee.

1. Submit endorsement application via Missouri board portal
2. Request license verification from current state (via NBCOT or direct) (can run concurrently)
3. Complete any state-specific requirements (background check, etc.) (can run concurrently)
4. Await board review and license issuance

License verification is handled through Source-state board-to-board verification (Verification of Licensure form must be completed by each prior state licensing agency and sent directly to the MO board). NBCOT is used to verify national certification/exam eligibility, not prior-state licensure. The two are distinct steps, not interchangeable.. Missouri requires verification from every state where you hold or have held an occupational therapist license, so request verification early to avoid delays.

Background check requirements vary by applicant — confirm the current fingerprinting and screening steps with the Missouri Board of Occupational Therapy. Where fingerprinting applies, submit your authorization as early as possible, since background check processing is one of the most common sources of delay.

After all components are received, the Board reviews applications on a rolling basis. Check the Missouri Board of Occupational Therapy website for status updates on your application.