Psychiatric Technician Licensure Application Forms
DCA BreEZe Online Services
Applications can be submitted online at DCA BreEZe Online Services
BVNPT's forms are in the Adobe PDF format or available to submit online, as noted. In order to fill out, view, and print PDF forms, please download and install the most current FREE Adobe Acrobat Reader. Please note that you cannot save the form once it is filled out, you can only print it, sign (if required), and mail to the Board. If you are unable to print the desired form, you can email the BVNPT at firstname.lastname@example.org or call the Board's office at (916) 263-7800 to obtain a hard copy.
There are three methods to qualify for licensure as a psychiatric technician in the State of California. All applicants for licensure under Section 2873 of the Business and Professions Code must meet the requirements of one of the following methods.
Read the Summary of Requirements for Licensure for each of the following methods and download the application forms for the method by which you qualify.
PLEASE NOTE: The Applicant Live Scan Fingerprint Forms will need to be submitted with each qualifying method.
Instructions are on file with each school. Applications must be submitted by the Director of your Psychiatric Technician Program. Contact your program director for application instructions and forms.
Applicant Live Scan Fingerprint Forms - Required with Method #2
Section 2506 of the California Code of Regulations specifies that applications for licensure shall be made "on the form prescribed and provided by the Board". The Board has specific forms that employers must complete in order for an applicant to receive credit for paid work experience. This form will be sent directly to the employer by the Board, and the completed form must be returned directly back to the Board from the employer.
All documentation in support of an application for licensure should be provided directly to the Board. Employers should not provide confidential employment information on licensure applicants to individuals other than the Board.
(See Summary of Requirements for Licensure for a detailed description of these requirements.)
Applicant Live Scan Fingerprint Forms - Required with Method #3