Skip Ribbon Commands
Skip to main content
Skip Navigation LinksBoard of Ophthalmic Dispensers
Kentucky Board of Ophthalmic Dispensers

Board of Ophthalmic Dispensers
Applications and Forms

Adobe Required
Note: The documents on this page are in Adobe Acrobat (PDF) format. Please click on the following link to download a free copy of Adobe Acrobat Reader.


 

 Form Library

 
TypeUse SHIFT+ENTER to open the menu (new window).
  
NameUse SHIFT+ENTER to open the menu (new window).
  
File SizeUse SHIFT+ENTER to open the menu (new window).
  
ModifiedUse SHIFT+ENTER to open the menu (new window).
  
Application for Continuing Education Credit.pdf
  
38 KB 6/16/2011 11:07 AM
Application for License Verification.pdf
  
45 KB 10/19/2012 8:38 AM
Application for Licensure as an Apprentice.pdf
  
52 KB 6/16/2011 11:07 AM
Application for Licensure as an Ophthalmic Dispenser.pdf
  
67 KB 6/16/2011 11:07 AM
Application for Practical Examination.pdf
  
138 KB 1/24/2013 12:58 PM
Application for Reinstatement as an Apprentice.pdf
  
43 KB 6/16/2011 11:07 AM
Application for Reinstatement as an Ophthalmic Dispenser.pdf
  
50 KB 6/16/2011 11:07 AM
Application for Renewal as an Ophthalmic Dispenser.pdf
  
48 KB 6/16/2011 11:07 AM
Apprentice Ophthalmic Renewal.pdf
  
91 KB 10/12/2012 10:04 AM
Change of Sponsorship Form.pdf
  
23 KB 6/16/2011 11:07 AM
Form to File a Complaint.pdf
  
31 KB 6/16/2011 1:10 PM
Name-Address Change Form.pdf
  
184 KB 12/6/2012 9:51 AM
Open Records Request.pdf
  
35 KB 6/4/2012 10:45 AM
Request for Mailing List.pdf
  
103 KB 1/2/2013 3:55 PM

Kentucky Board of Ophthalmic Dispensers | 911 Leawood Drive | Frankfort, KY 40601
502-564-3296, ext. 228 (Telephone) | 502-696-4961 (Fax) | lindsey.lane@ky.gov
 



© 2011 Kentucky PPC. Disclaimer Privacy Notice Site Map Kentucky.gov Sign In