Occupational Therapist Registered OTR

Certified Occupational Therapy Assistant COTA

Certification Examination

Handbook

NBCOT Certification
Programs are accredited by:

NBCOT does not discriminate against any individual because of race, ethnicity, gender, age, creed, disability,
religion, marital status, sexual orientation, or national origin. NBCOT reserves the right to amend the
procedures outlined in this handbook. For the most up-to-date information concerning the certification
examinations, please visit www.nbcot.org, e-mail: info@nbcot.org, call 301-990-7979 or fax: 301-869-8492.

AOTCB/NBCOT Examinations

ID 31 rev 20131126

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in
any form or by any means (electronic, mechanical, photocopying, recording, or otherwise) without prior written
permission of the copyright owners.
2014 National Board for Certification in Occupational Therapy, Inc.
NBCOT is a service and trademark of the National Board for Certification in Occupational Therapy, Inc.
OTR is a service and trademark of the National Board for Certification in Occupational Therapy, Inc.
COTA is a service and trademark of the National Board for Certification in Occupational Therapy, Inc.
All marks are registered in the United States of America.
National Board for Certification in Occupational Therapy, Inc.
12 South Summit Avenue, Suite 100
Gaithersburg, MD 20877
http://www.nbcot.org
Printed in the United States of America.

TABLE OF CONTENTS
Introduction
About NBCOT......................................................................................................................... 2
About This Handbook.............................................................................................................. 2
Purpose of the Examinations................................................................................................. 2
Examination Development..................................................................................................... 2
Examination Administration................................................................................................... 3
Certification Eligibility Requirements
Certification Eligibility Requirements..................................................................................... 3
Eligibility Appeal Process........................................................................................................ 3
NBCOT Candidate/Certificant Code of Conduct .................................................................. 4
Application Process
Submitting the Application..................................................................................................... 6
Online Application for First Time Exam Candidates......................................................... 6
Hardcopy Application for First Time Exam Candidates.................................................... 7
Character Questions............................................................................................................... 7
Reporting Services.................................................................................................................. 8
Confirmation of Exam Registration/Eligibility of Exam Notice........................................ 8
Official Score Transfer........................................................................................................ 8
Fees.......................................................................................................................................... 9
Special Testing Accommodations.......................................................................................... 9
Academic Verification Documentation................................................................................ 10
Official Final Transcript or Academic Credentials Verification Form (ACVF)................. 10
Fieldwork Verification by Academic Program Director...................................................12
Approved Applications
Authorization to Test (ATT) Letter......................................................................................... 12
Checking Exam Application Status......................................................................................12
Scheduling the Certification Examination........................................................................... 13
Biometric Candidate Notice During Scheduling/Registration............................................ 13
Name and/or Address Changes........................................................................................... 14
Application Withdrawal and Refund For Personal and/or Medical Emergencies............. 15
Cancellation, Rescheduling, Late Arrival or No Show for Scheduled Examination........... 15
NBCOT Exam Products and Service Refund Policy............................................................. 16
Preparing for the Exam
Examination........................................................................................................................... 17
Multiple Choice Items...................................................................................................... 18
Simulation Test Items (OTR exam only)......................................................................... 18
Study Tools............................................................................................................................ 19
Exam Day: Questions & Answers............................................................................................ 20
After The Exam: Questions & Answers...................................................................................23

Retaking the Exam..................................................................................................................25

NBCOT Certification Renewal: Keep Your Credential Active!..............................................26
Summary of Exam Candidate Requests................................................................................. 27
Appendix....................................................................................................................................29

INTRODUCTION
About NBCOT
The National Board for Certification in Occupational Therapy, Inc. (NBCOT) is the national certification body for
occupational therapy professionals in the United States.
The mission of NBCOT is to serve the public interest by advancing client care and professional practice through
evidence-based certification standards and the validation of knowledge essential for effective practice in
occupational therapy. NBCOTs vision is certified occupational therapy professionals providing effective evidencebased services across all areas of practice worldwide.
Currently, 50 states, Guam, Puerto Rico and the District
of Columbia require NBCOT initial certification for
occupational therapy state regulation, (e.g., licensing).

Visit www.nbcot.org for

a list of Frequently Asked
Questions regarding the
certification examination
and application.

NBCOT certification programs have received and

maintained accreditation by the American National
Standards Institute (ANSI) and the National Commission
for Certifying Agencies (NCCA). NBCOT is a proud member
of the Institute for Credentialing Excellence (ICE).

About This Handbook

This handbook has been developed to provide US
educated exam candidates with the information to
complete and successfully submit a certification
examination application. NBCOT recognizes the
responsibility exam candidates assume when completing
their exam application. Our aim is to provide a smooth
and positive application experience.

Questions can be directed to

info@nbcot.org, or by phone
(301) 990-7979.

Purpose of the Examinations

The primary purpose of the NBCOT certification examinations is to protect the public interest by certifying only those
candidates who have the necessary knowledge of occupational therapy to practice. The OCCUPATIONAL THERAPIST
REGISTERED OTR and CERTIFIED OCCUPATIONAL THERAPY ASSISTANT COTA examinations are constructed to
measure entry-level competence of candidates who have met eligibility requirements for certification of the
respective credential.

Examination Development
The OTR and COTA examinations are constructed based on the results of practice analysis studies. The studies
identify the domains, tasks, knowledge and skills required for occupational therapy practice relative to the
respective credential. The ultimate goal of a practice analysis study is to ensure that there is a representative
linkage of examination content to practice. The periodic performance of practice analysis studies assists NBCOT with
evaluating the validity of the test specifications that guide content distribution of the credentialing examinations.

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Examination Administration
The NBCOT certification examinations are administered at Prometric Test Centers (PTCs) worldwide. Prometric
delivers and administers more than 10 million tests a year on behalf of approximately 400 clients in the academic,
financial, government, healthcare, professional, corporate and information technology markets. It delivers test
flexibly via the Web or by utilizing a robust network of more than 10,000 test centers in more than 160 countries. For
more information, please visit www.prometric.com.

Visit NBCOT on Facebook www.facebook.com/NBCOTCertification

Visit NBCOT on Twitter www.twitter.com/NBCOT

Visit NBCOT on LinkedIn www.linkedin.com/groups?gid1140837

CERTIFICATION ELIGIBILITY REQUIREMENTS

Certification Eligibility Requirements
Graduating with an accredited/approved entry-level occupational therapy degree
- Associates degree in occupational therapy COTA exam
- Masters degree in occupational therapy OTR exam
Completing all fieldwork requirements
Submitting an official final college or university transcript that indicates the date of graduation and degree
title or NBCOT Academic Credential Verification Form (ACVF). Beginning January 2014, for any student who
has submitted an ACVF, their pass/fail status will not be released until NBCOT has received a final complete
transcript from the College/University the student graduated from that confirms their DEGREE DATE and
DEGREE TITLE.
Agreeing to abide by the NBCOT Code of Conduct
Attaining a passing score on the NBCOT OTR or COTA certification examination

Eligibility Appeal Process

If a candidate is determined to be ineligible to take the certification examination, the candidate has the right
to appeal that decision in writing to the NBCOT Board of Directors. Within 21 days of receipt of the ineligibility
notification, the candidate may submit a letter of appeal. The letter MUST outline the grounds for the appeal,
including reasons why the application should be recognized and accepted by NBCOT. All letters should be sent via
traceable mail (i.e., certified, UPS, Federal Express) to:
NBCOT, Inc. Attn: President and Chief Executive Officer
12 S. Summit Avenue, Suite 100
Gaithersburg, MD 20877

www.nbcot.org

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NBCOT Candidate/Certificant Code of Conduct

Preamble
The National Board for Certification in Occupational Therapy, Inc. ("NBCOT," formerly known as
AOTCB) is a professional organization that supports and promotes occupational therapy practitioner
certification. This Candidate/Certificant Code of Conduct enables NBCOT to define and clarify the
professional responsibilities for present and future NBCOT certificants, i.e., OCCUPATIONAL THERAPIST
REGISTERED OTR (OTR) henceforth OTR, and CERTIFIED OCCUPATIONAL THERAPY ASSISTANT COTA
(COTA) henceforth COTA.
It is vital that NBCOT certificants conduct their work in a professional manner to earn and maintain the
confidence and respect of recipients of occupational therapy, colleagues, employers, students, and the
public.
As certified professionals in the field of occupational therapy, NBCOT certificants will at all times act
with integrity and adhere to high standards for personal and professional conduct, accept responsibility
for their actions, both personally and professionally, continually seek to enhance their professional
capabilities, practice with fairness and honesty, abide by all federal, state, and local laws and
regulations, and encourage others to act in a professional manner consistent with the certification
standards and responsibilities set forth below.
Where the term "certificant" is used, the term "applicant or candidate" is included in its scope.

Principle 1
Certificants shall provide accurate and truthful representations to NBCOT concerning all information
related to aspects of the Certification Program, including, but not limited to, the submission of
information:
On the examination and certification renewal applications, and renewal audit form;
Requested by NBCOT for a disciplinary action situation or
Requested by NBCOT concerning allegations related to:
Test security violations and/or disclosure of confidential examination material content to
unauthorized parties;
Misrepresentations by a certificant regarding his/her credential(s) and/or education;
The unauthorized use of NBCOTs intellectual property, certification marks, and other
copyrighted materials.

Principle 2
Certificants who are the subject of a complaint shall cooperate with NBCOT concerning investigations of
violations of the NBCOT Practice Standards, including the collection of relevant information.

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Principle 3
Certificants shall be accurate, truthful, and complete in any and all communications, direct or indirect,
with any client, employer, regulatory agency, or other parties as relates to their professional work,
education, professional credentials, research and contributions to the field of O.T.

Principle 4
Certificants shall comply with laws, regulations, and statutes governing the practice of occupational
therapy.

Principle 5
Certificants shall not have been convicted of a crime, the circumstances of which substantially relate
to the practice of occupational therapy or indicate an inability to engage in the practice of occupational
therapy safely, and/or competently.

Principle 6
Certificants shall not engage in behavior or conduct, lawful or otherwise that causes them to be, or
reasonably perceived to be, a threat or potential threat to the health, well-being, or safety of recipients
or potential recipients of occupational therapy services.

Principle 7
Certificants shall not engage in the practice of occupational therapy while ones ability to practice is
impaired due to chemical (i.e., legal and/or illegal) drug or alcohol abuse.

Approved June 2002

Revised February 2003
Revised June 2006
Revised October 2008
Revised January 2010
Revised November 2011
Revised October 2013

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APPLICATION PROCESS
Submitting the Application
There are two ways to apply for the certification examination online or by mail using a hardcopy application. An
application is valid for one year from date of submission.

Important Note:

The candidate must complete the application. Applications submitted for the candidate by anyone other
than the candidate are not valid. This includes, but is not limited to, family members, program directors,
fieldwork coordinators and other professors. The candidate will be deemed ineligible for one (1) year and
the fees forfeited.

Candidates who do not take their exam within one year of the date they apply will need to submit a new
application with exam application fee. After one year, the exam application expires and the fee is forfeited.

Online Application for first-time exam candidates:

Step 1: Read the instructions outlined in this handbook
Step 2: Set up a new account by logging onto www.nbcot.org and then, completing the Online Application
On the home page, select Certification Candidates from the top menu bar
Select Online Exam Application from the drop down menu
Read through the opening instructions
Click Apply Now
Click the Setup New Account link
Complete the Exam Application Account Setup page. Online candidates MUST provide a working
e-mail address that is capable of receiving e-mail from NBCOT
Click Continue to Exam Application
On the Application Welcome Page, click Continue
Proceed through each screen of the application, carefully following the on-screen instructions and
providing all information required
An exam application, including payment section, MUST be completed in its entirety in one
session in order to be saved. Partially completed applications cannot be saved in the online
system. Do not use the back browser to review your application. It may cause the application to
fail.
Step 3: Submit Academic Verification Documentation
Once a candidate has registered online, they can log onto their account using the username (e-mail address) and
password that was created when the account was initially set up. Candidates may make changes to their username
and password by clicking "Edit Account Info" after logging into their application online. Address changes can only be
made prior to the exam application being approved, and can be done by clicking "Edit Info."

Important Notes:

An online account should only be created once. A fee will be assessed if a duplicate account is created. If
a candidate has forgotten their username or password, they may get this information by contacting NBCOT
via e-mail at onlineexamapp@nbcot.org. Do not set up another account!

A fee will also be assessed for any corrections made to the online exam application after the exam
application has been submitted. This includes removing special accomodations requests and changing
the candidate's name.

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Hardcopy Application for first-time exam candidates

A hard copy exam application can be downloaded from the NBCOT website, and is also located in appendix B
of this handbook.
Step 1: Read the instructions outlined in this handbook
Step 2: Complete all applicable sections of the application.
Insert correct school code (school codes can be found at:

www.nbcot.org > Certification Candidates > U.S. School Codes).

A signature is required on the Attestation Statement.
Make a photocopy of the completed application for your records.
Step 3: Mail the application, along with payment to: NBCOT, Inc. P.O. Box 64971 Baltimore, MD 21264 .
NBCOT recommends that the application be sent via traceable mail (e.g. certified).
If a working e-mail address (username) and password were provided in the application, the candidate
can use them to check the status of the application online at www.nbcot.org.
Step 4: Submit Academic Verification Documentation

Important Note:
Candidates should not apply online if a hardcopy application has been submitted.

Character Questions
This section MUST be completed by all candidates.
If a candidate answers yes to any of the character questions on the application, the following information MUST
also be submitted:
1. A written explanation of the events regarding the incident or question to which yes was answered.
2. Copies of any official documentation related to the incident, including police reports, court documents
showing sentencing requirements or documents showing how the case was resolved, e.g., dismissed, pretrial program.
3. Any additional information or documentation, such as remedial measures taken since the incident including
letters from parole or probation officers confirming successful completion of probation, or a letter confirming
successful completion of chemical dependency treatment.
For criminal convictions, candidates MUST answer affirmatively and submit supporting documentation, even if
records, or convictions have been pardoned, expunged, pled down, released, or sealed. All information MUST be
submitted to and reviewed by NBCOT before the examination application will be approved.
If an exam candidate has been convicted of a crime at any time before or after issuance of an Authorization To Test
(ATT) letter, the candidate MUST notify NBCOT immediately. If the candidate fails to inform NBCOT, disciplinary action
may result. Notifications should be sent to:
NBCOT, Inc.
Attn: Qualifications and Compliance Review
12 S. Summit Avenue, Suite 100
Gaithersburg, MD 20877
www.nbcot.org

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Reporting Services
NBCOT offers the following reporting services:
Confirmation of Examination Registration and Eligibility to Examine Notice
Official Score Transfer
The candidate is responsible for contacting the occupational therapy state regulatory board to determine which
service(s) is required.

Confirmation of Examination Registration and Eligibility to Examine Notice

This service confirms that a candidate has, in fact, applied for and been deemed eligible to take the national
certification examination. This service requests NBCOT to send a confirmation notice to any third party (a U.S. state
regulatory board if seeking a temporary/limited permit, employer, etc.) or to a candidate who wishes to have a notice
for their personal records. There is a fee per notice. The notice is sent USPS First Class mail 10-15 business days after
the exam application has received final approval.
The notice contains the following confirmations:
1. Examination application and fees have been processed
2. Official final transcript or NBCOT Academic Credential Verification Form (ACVF) has been received & accepted
3. Candidate has been approved to schedule a test date with Prometric
4. Candidates examination history: a listing of the dates of examinations, 1997 - present

Important Note:
All states accept the Confirmation of Examination Registration and Eligibility to Examine Notice
except: Alabama, Colorado, Connecticut, Hawaii, Iowa, Kansas, Louisiana, Michigan, Minnesota,
Mississippi, New Hampshire, North Carolina, South Carolina, Washington, and Wisconsin.

Official Score Transfer

This service requests NBCOT to send an electronic Official Score Transfer (also known as the Score Report) to a U.S.
state regulatory board. A state regulatory board will NOT automatically receive a score report unless an official score
transfer service has been ordered. There is a fee for each score report sent.

Important Notes:

The cost of this service increases after the exam has been taken.

All states accept scores except: Hawaii.

Completion of the NBCOT Certification Examination Application is not the same as applying for state
licensure. Sending a score report to a state regulatory board does not automatically initiate the process
to obtain a license or permit to work in that state. Certification by NBCOT is independent, different, and
separate from any state or jurisdictions law/licensure. Almost all jurisdictions, including the District of
Columbia and Puerto Rico, have some form of regulation of occupational therapists and occupational
therapy assistants. Before a candidate begins practicing in any state or comparable jurisdiction, it is
essential that all requirements of that jurisdiction are met. To practice without a license or permit is
against the law.

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Ordering reporting services at time of application:

Select the service on the application. Candidates may log onto their online exam application to add services
while the application is in New status but cannot remove or substitute services. For example, a score report
request to a state may not be removed or substituted for a score report to another state.
Ordering reporting services after the exam application has been submitted:
Adding services after applying but before the application has been approved can be done by clicking the
"Add Orders" button in the online application.
Ordering reporting services after exam has been taken:
If an applicant orders a reporting service after the application has been approved or after the exam has
been taken, a request can be submitted through the online services link at https://secure.nbcot.org/
OnlineScoreTransfer/.
Ordered items cannot be cancelled or refunded.

Important Note:
All reporting service requests are final and non-refundable. After an exam application has been
submitted, a fee will be assessed for requests to remove a reporting service and for any other changes or
corrections made to the online exam application. If an applicant orders a reporting service after the exam
has been taken, the applicant must submit the proper online request form with payment to NBCOT.

Fees
Payment for examination applications and related services such as score transfer, confirmation of exam registration,
and eligibility to examine notices must be made by credit card (MasterCard or Visa). Candidates applying for the
examination (OTR or COTA) MUST pay the fee at the time the application is submitted. No off-line payments will be
accepted. An application cannot be processed until all fees are paid in full.
For a detailed fee schedule, see the payment section of the application in Appendix B of this handbook. Questions
can be directed to NBCOT via e-mail at onlineexamapp@nbcot.org or by phone at 301-990-7979.

Special Testing Accommodations

In adherence with the Americans with Disabilities Act (ADA, 1990, updated 2010), NBCOT will provide reasonable
and appropriate accommodations for qualified individuals with a disability who submit appropriate documentation.
Refer to the Special Testing Accommodations handbook at:

www.nbcot.org > Forms > Special Accommodations

for details on requesting testing accommodations. Direct specific questions to: accommodations@nbcot.org
Please note, a request for special testing accommodations approval may increase the amount of time it takes to
process an exam application.

www.nbcot.org

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Academic Verification Documentation

AFTER the candidate has submitted an exam application and fee, they MUST arrange to submit the following
academic verification documentation to NBCOT:
1. Official Final Transcript or Academic Credential Verification Form (ACVF). Beginning January 2014, for any
student who has submitted an ACVF, their pass/fail status will not be released until NBCOT has received
a final complete transcript from the College/University the student graduated from that confirms their
DEGREE DATE and DEGREE TITLE.
2. Fieldwork Verification (if applicable see details below)
The application process is not complete until this documentation is on file with NBCOT.

Important Note:
Exam candidates must submit their completed application and payment to NBCOT prior to the submission
of any academic verification information. Transcripts received in the absence of an accompanying exam
application on file with NBCOT will be destroyed after 30 days.

Official Final Transcript or Academic Credential Verification Form (ACVF)

Candidates who are taking the examination for the first time MUST request that the school registrar submit
documentation to NBCOT that confirms the student is cleared for graduation. Cleared for graduation means all
grades have been recorded, the thesis is complete (if required), and there are no outstanding financial obligations to
the institution. Either of the following will be accepted:
Official Final Transcript: see note below for information that MUST be included on the transcript.
Academic Credential Verification Form (ACVF)
Beginning January 2014, for any student who has submitted an ACVF, their pass/fail status will not be
released until NBCOT has received a final complete transcript from the College/University the student
graduated from that confirms their DEGREE DATE and DEGREE TITLE.
NBCOT requires the official final transcripts be sent directly from the registrar's office, transcript service, or
clearing house. Mailed transcripts must be placed in an envelope that has the following across the back flap:
registrar stamp, registrar initials, or "Transcripts Enclosed," OR the return address on the envelope must state that it
was mailed from the registrar's office. If the candidate is mailing the transcript, the sealed envelope MUST be placed
in another envelope so that the sealed school envelope remains intact. NBCOT recommends that the documentation
is sent via traceable mail. The candidate should retain the mailing receipt, in the event proof of mailing and receipt
is required.

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Transcripts may be sent to NBCOT in batch mailings (e.g. more than one at a time). All included candidates MUST
already have submitted their completed application with payment to NBCOT. Batch mailings MUST be sent directly
from the Registrars office, placed in a College/University envelope with a cover letter on College/University Registrar
letterhead. The cover letter MUST list all exam candidates by name and MUST be signed by the Registrar. The
mailing MUST be sent directly from the registrar's office with the following across the back flap: registrar stamp,
registrar initials, or "Transcripts Enclosed," OR the return address on the envelope must state that is was mailed from
the registrar's office. Documentation should be mailed to:
NBCOT, Inc.
12 South Summit Avenue, Suite 100
Gaithersburg, MD 20877
NBCOT will accept transcripts electronically that are transferred using a secure document transfer program. The
documents should be sent to transcripts@nbcot.org.
The following will not be accepted: a transcript marked "unofficial copy," a photocopy, a letter from the school, or a
faxed transcript.

Important Note: Submission of an Official Final Transcript is helpful in expediting the examination
application approval process. The Official Final Transcript MUST include ALL of the following:
Candidates full name
Candidates social security number OR student identification number
Name of the institution awarding the occupational therapy degree/certificate
Listing of all courses completed and required for the ACOTE accredited entry-level degree/
certificate
Identification of the major: either occupational therapy or occupational therapy assistant
Title of the entry-level degree/certificate awarded in Occupational Therapy
The date on which the degree/certificate was awarded/conferred. The degree/certificate must have
been awarded. Transcripts with a pre-dated graduation date will not be accepted.
The registrars official seal or stamp
If the transcript does not contain all of this information, the candidate will be notified by NBCOT that
the application cannot be processed until the information is received.

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Fieldwork Verification By the Academic Program Director (if applicable)

There is currently one U.S. program that awards an Occupational Therapy degree before the required fieldwork is
completed:
20609University of Southern California
Candidates graduating from this program MUST request that their program director submit documentation to
NBCOT verifying successful completion of all fieldwork.

APPROVED APPLICATIONS
Authorization to Test (ATT) Letter
Once a candidates eligibility has been approved by NBCOT, the candidate will receive an Authorization to Test (ATT)
letter by e-mail within 10-15 business days. If no e-mail address was provided on the application, the ATT letter will
be sent postal mail. The ATT letter authorizes the candidate to take the certification examination.

Important Note:
The ATT letter will include:
The contact information for Prometric and details on how to schedule an examination
Information on how to reschedule or cancel an examination if necessary
The ATT Letter will be sent within 10-15 business days of receipt of all required documentation. It is
the candidates responsibility to keep their e-mail address current with NBCOT.

The ATT letter is active for 90 days. If the candidate does not take the examination within this 90-day period, the
candidate may choose to reactivate the ATT letter for an additional 90 days. The ATT letter can be reactivated as
many times as necessary during the one-year application period with the understanding that in order to successfully
reactivate or reissue the ATT letter, the candidate must cancel the examination appointment if previously scheduled.
There is a fee for each reactivation of the ATT letter. After one year, the ATT letter can no longer be reactivated a
new examination application and fee MUST be submitted.
Reactivation of the ATT letter may be requested online if the account is in Reactivate Status, by logging onto the
candidates account, or by submitting a Reactivation/Reissue of Authorization to Test (ATT) Form, available on the
NBCOT website at:

www.nbcot.org. > Forms > NBCOT Certification Examination Forms > Reactivation/Reissue of Authorization to Test (ATT) Form.
Once a candidate submits a Reactivation/Reissue of Authorization to Test (ATT) form, the original ATT letter is voided.
The candidate may no longer test on the original ATT letter.

Checking the Examination Application Status

Candidates may log into their examination application account to check the application status by using the same
login (e-mail and password) created at initial account setup. Candidates can check to see whether payment has
been received, the transcript or ACVF has been received or the ATT letter has been sent. It is the candidates
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responsibility to check to see if the ATT letter has been sent to them online. Candidates can view and print a copy of
their current ATT letter from their account. Those who do not have an e-mail address or password can call NBCOT
and the ATT letter will be re-mailed if the ATT letter has not yet been received.

Pictured above and at right: a Prometric test center.

Scheduling the Certification Examination

After the ATT letter has been received, candidates can schedule their testing appointment directly with Prometric.
A list of Prometric test centers can be found online at www.prometric.com. Candidates are encouraged to locate
a test center and schedule their examination online. If a candidate chooses to call Prometric instead, the call
center should be contacted, rather than the individual Prometric test center. Prometrics contact information will be
included on the candidates ATT letter. NBCOT cannot schedule or confirm individual exam appointments.

Biometric Candidate Notice During Scheduling/Registration

Important Notes:

Please DO NOT contact Prometric until after you have received the ATT letter.

Candidates approved by NBCOT for a special accommodation(s) CANNOT schedule their examination
online. Candidates with an approved special testing accommodation(s) MUST call Prometric to schedule
their examination.

Whether scheduled online or via phone, the candidate will be presented with a biometric-enabled check-in notice.
This notice will explain the collection and usage of biometric information. The candidate MUST acknowledge
having read the statement by selecting agree or disagree either selection will allow the candidate to proceed with
registration.

Important Note:
If an exam candidate calls to schedule the exam over the phone, the Prometric customer service
representative will read a brief statement about biometrics and direct the candidate to the website for
further information. Upon completion of the scheduling process, an exam confirmation e-mail will be sent
containing a link to the website featuring further information about biometric-enabled check-in.

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Name and/or Address Changes

The first and last names provided on the examination application is the name that is printed on the Authorization To Test
(ATT) letter.
Candidates are required to present identification when arriving at the Prometric Test Center.
This identification MUST match the first and last names indicated on the ATT letter. The middle name or
initial does not show on the ATT letter and is not required for ID purposes.
If the identification does not match the ATT letter, the candidate will not be admitted to test, and the
examination will be forfeited.
When the exam is forfeited, the ATT letter is voided; a new ATT letter is required.
Name changes cannot be made at the test center.

Name Change (First-time Candidates)

If a candidates legal name changes AFTER the examination application has been submitted, the new name
MUST be updated with NBCOT.
To request a name change BEFORE the exam application account is pre-approved:
Complete a Name Change Request Form available online at:

www.nbcot.org > Forms > Certification Related Forms > Misc. Forms >Name Change Request Form.
Submit copies of the legal documentation that reflects the name change. See request form for list of
accepted documents.
Mail or fax form and documentation to NBCOT, at the address listed on the form.
The name given on the examination application is the name printed on the Authorization To Test (ATT) letter.
To request a name change AFTER the ATT letter is issued:
Complete a Reactivate/Reissue of ATT letter Form available online at:
www.nbcot.org > Forms > NBCOT Certification Examination Forms> North America > Authorization To Test Letter
(reactivation). Be sure to include the reactivation fee.
Submit copies of the legal documentation that reflects the name change. See request form for list of
accepted documents.
Mail or fax forms, payment, and documentation to NBCOT, at the address listed on the form.

Name Change (Retake Candidates)

Candidates who need to retake the certification examination and who have had a legal name change
since the last exam administration MUST contact NBCOT by telephone or e-mail for instructions prior to
submitting the online exam application.
Candidates do not have the ability to change their name online.
If a candidate reapplies with payment prior to NBCOT updating their record, the application becomes
pre-approved in the previous name.
Those who reapply online PRIOR to contacting NBCOT, will be assessed an administrative fee to correct the
name in the online account.
Payment in the form of a check, money order, or credit card (Visa/MasterCard) will be required with
submission of the Name Change Request Form and proper name change documentation to NBCOT.
Candidates submitting paper exam applications can submit name change documentation, along with exam
fees to NBCOT.

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Address Change
When a candidates address changes AFTER the exam application has been submitted, the candidate may
be able to update their address at the Prometric testing center on the day of their exam. If not, candidates
can call NBCOT when the online pass/fail scoring information has posted. Candidates should set up a
forwarding address service through the post office so their documents from NBCOT can be forwarded to their
new address.
Address changes can only be made to the application BEFORE the exam application account is
pre-approved/processed.
Candidates who apply online are encouraged to access their application online to update their address.
Address changes cannot be made to the online application once the ATT letter has been issued.
Please be sure to set up a forwarding address with the postal service.

Application Withdrawal and Refund For Personal and/or Medical Emergencies

Candidates whose exam has been scheduled, and whom experience a personal or medical emergency, MUST notify
NBCOT in writing. Documentation verifying the event/circumstance MUST be provided. Requests for rescheduling of
the exam will be considered on a case by case basis.
Approved candidates will receive a partial refund. Since the examination application remains active for one year, in
order to receive a partial refund, the candidate MUST completely withdraw the examination application within a year
of the application date and submit the request via e-mail to info@nbcot.org with a brief explanation. Refunds will be
processed within 30 days from the date NBCOT approves the refund request.

Cancellation, Rescheduling, Late Arrival or No Show for Scheduled Examination

The following fees apply to examination candidates who reschedule, cancel, arrive late or do not appear for their
scheduled examination:
Category

Cancellation/Reschedule Period

Cancellation/Rescheduling Fee

30 or more business days before scheduled examination date

No fee. If exam is rescheduled within current ATT letter activation

period, no Reissue/Reactivation Notice form is required.

5-29 business days before scheduled examination date

$35.00 (contact Prometrics Candidate Services Contact Center:

www.prometric.com). If exam is rescheduled within current ATT
letter activation period, no Reissue/Reactivation Notice form is
required.

Less than 5 business days before scheduled examination date; or

Fails to appear for a scheduled examination; or
Arrives at the Test Center more than fifteen (15) minutes after
scheduled examination start time for taking the examination and
is refused admission
Arrives at the Test Center without the proper ID

$175.00 - See NBCOT website (www.nbcot.org) for an ATT

Reissue/Reactivation Notice order form. This form MUST be
completed and submitted to NBCOT with payment before the exam
can be rescheduled.

Candidates with Category 1 or 2 changes MUST make and confirm all cancellations/changes through direct contact
with Prometrics Candidate Services Contact Center (CSCC) personnel. Leaving a message on a recorder or a voice
mail is NOT an acceptable means to confirm cancellation or examination date change.

www.nbcot.org

Page 15

NBCOT Exam Products and Services Refund Policy

Fees for these services are non-refundable

Official Score Transfer*

Confirmation of Examination Registration
and Eligibility to Examine Notice
Authorization to Test (ATT) Reactivation/Reissue
Online Practice Tests
Online Content Tests
OTKE Study Guides
*Exception: If the examination application is withdrawn,
the Official Score Transfer fees will be refunded.

Page 16

www.nbcot.org

PREPARING FOR THE EXAM

Examination
The examinations consist of the following:
OTR: 3 Simulation Test Items and 170 Multiple Choice Test Items
COTA: 200 Multiple Choice Items
The questions are derived from the results of practice analysis studies and developed to measure the knowledge
required for practicing as an entry-level occupational therapist registered or certified occupational therapy assistant.
The following charts present the domain areas and proportion of test items established for the OTR and COTA
blueprints of the current certification examinations.
OTR Domain Descriptions

Percent
of Exam

01

Acquire information regarding factors that influence occupational performance throughout the
occupational therapy process

17%

02

Formulate conclusions regarding client needs and priorities to develop and monitor an
intervention plan throughout the occupational therapy process

28%

03

Select interventions for managing a client-centered plan throughout the occupational therapy
process

45%

04

Manage and direct occupational therapy services to promote quality in practice

10%

COTA Domain Descriptions

Percent
of Exam

01

Assist the OTR to acquire information regarding factors that influence occupational performance
throughout the occupational therapy process

32%

02

Implement interventions in accordance with the intervention plan and under the supervision
of the OTR to support client participation in areas of occupation throughout the occupational
therapy process

60%

03

Uphold professional standards and responsibilities to promote quality in practice

8%

Validated Domain, Task and Knowledge

Statements for the Examinations
There are multiple task and knowledge statements for each of the domain areas for the respective
credentialing examinations. The OTR Validated Domain, Task and Knowledge Statements and COTA
Validated Domain, Task and Knowledge Statements for the examinations are available online at:

www.nbcot.org > Certification Candidates > Certification Candidates FAQ > Where can I obtain more detailed
information about the areas tested on the examinations?

www.nbcot.org

Page 17

Multiple Choice Items

Each multiple choice item starts with a stem or premise. This is usually in the form of a written statement or
question. Possible response options are listed beneath the stem. From the options listed, there is only ONE correct
response, the other options are distracters. Candidates need to solicit the best response based on the information
presented in the stem.
Example: During which task would a stereognosis deficit secondary to a CVA be MOST EVIDENT?
1) Getting coins from a pocket*
2) Pouring water into a cup
3) Putting on a pair of socks
4) Opening a pill bottle
*Correct answer

Simulation Test Items (OTR Examination Only)

A simulation test item consists of an opening
scene, a series of sections each with section
headers, and a list of decisions or action
statements. These action statements consist
of positive, negative, and neutral responses.
An example is shown at right.
Candidates select the actions that they deem
appropriate from the list of actions provided. As
the action statement is selected, a feedback
box will appear. The feedback box provides
information related to the action selected.
Feedback is revealed response-by-response
as the candidate makes each selection, so
that a candidate only receives information on
the actions they have chosen throughout the
course of the problem. Feedback does not
give information on whether the response was
positive, neutral or negative.
From the list of actions, a candidate will
score points for positive actions and have
points deducted for actions that are negative
or hinder the resolution of the presented
problem(s). A candidate will neither have points
awarded nor deducted for selecting a neutral
action.

Pictured above: screenshot similar to the format that appears on the exam.

Once an action has been selected it cannot be

de-selected. Candidates are able to navigate
back to see previous screens; however, actions
cannot be changed on previous screens once
the candidate has progressed to a new screen.
Page 18

www.nbcot.org

Study Tools
NBCOT offers a number of study tools to assist candidates with their exam preparation including the validated
domain, task and knowledge statements, the examination blueprints, entry-level self-assessment tools, online
practice tests, study guides, and study packages. The tools are designed to help candidates assess their
examination readiness, focus study efforts in appropriate areas, and become familiar with the areas tested on the
examination. NBCOT does not guarantee enhanced performance on the NBCOT certification examinations for those
using any of these study materials. However, the official NBCOT study tools are the only OTR and COTA certification
examination study tools designed exclusively by NBCOT test development professionals and include sample
practice questions that have been written to the same psychometric standards as the actual NBCOT certification
examinations.

NBCOT

Study Tools Central

To access the study tools, click on the

Study Tools Central button at
left, or on the NBCOT home page at
www.nbcot.org

Important Note:
NBCOT does not administer, approve, endorse, or review preparatory courses relating to the NBCOT
certification examinations or study materials produced by other vendors.

NOW Accessible For iPads

NBCOT OTR and COTA Official Study Guides
www.nbcot.org

Page 19

EXAM DAY: QUESTIONS & ANSWERS

What are the requirements for admission to the test center?
You MUST arrive 30 minutes prior to your scheduled appointment with two forms (two primary forms or a
primary and secondary form) of acceptable identification where your name and signature match your ATT
letter.

Acceptable Primary identification is:

A currently valid, government-issued photo ID with legal name and legible signature.
Primary ID

Requirement

Requirement

Requirement

Requirement

Drivers License

Current issue date

Legal name

Signature

Photograph

Passport

Current issue date

Legal name

Signature

Photograph

State Issued ID

Current issue date

Legal name

Signature

Photograph

Permanent Resident/
Green Card

Current issue date

Legal name

Signature/barcode

Photograph

Military ID

Current issue date

Legal name

Signature/barcode

Photograph

Acceptable Secondary identification is:

A current major credit card with expiration date (Visa, Master Card, American Express or Discover Card)
ATM card
Employee ID card
Voter registration card or letter

Student ID card
Social Security cards are not accepted
All forms of ID MUST be original and MUST have a signature that matches the first
and last name of the ATT letter. Signing with a nickname is not valid. If there is a
discrepancy caused by a recent name change, a copy of the marriage license/certificate or divorce decree
will NOT be accepted at the test center and you WILL NOT BE PERMITTED TO TAKE THE EXAMINATION
refer to name change procedures on page 14.

Will I be thumb-printed or photographed at the testing center?

Prometric employs biometric-enabled check-in services at all its test sites. This procedure consists of a number
of steps to verify your eligibility to test, including taking an electronic record of your ID, photo imaging, and a
digital fingertip record. You are required to undergo fingertip analysis any time you leave and re-enter the testing
room for validation purposes. There is video surveillance in all candidate accessible areas of the testing center.

What items are prohibited while taking the examination?

You are not allowed to bring ANY electronic device (cell phones, personal digital assistants (PDAs), cameras, or
digital watches) or any hard copy documentation into the testing facility. This includes but is not limited to the
lobby, bathroom, test administration check-in and/or waiting rooms or the test administration room. If you are
found using such a device during any part of the test administration process, the Testing Center Administrator
(TCA) will require you to step out of the test administration area. The TCA will inform you that you have violated
test center rules and a report will be filed. The TCA will file a detailed Candidate Proctor Report (CPR) with
NBCOT, including the make/model of the prohibited item (if applicable). You will be dismissed and the exam
terminated. Your future exam eligibility status will be determined by NBCOT.
Page 20

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Can I use earplugs?

Candidates may provide their own earplugs as long as they are not connected with a string or wires. Earplugs are
subject to inspection by the TCA. Headphones are available at all Prometric Testing Center locations.

What clothing am I allowed/not allowed to bring into testing room?

If you wish to wear a sweater or jacket, the clothing item MUST be donned before entering the testing room.
Once in the testing room, you will not be allowed to put on or take off a sweater, jacket, or shoes, or pull a jacket
hood up over your head. Head coverings of any kind are not allowed in the testing room unless it is being worn
for religious purposes (such as hats, turbans, scarves, and yarmulkes). If the item is worn for religious purposes
it will be visually inspected prior to you being admitted into the testing room and MUST remain in full view at all
times. If you need to reposition or take off the head covering or religious item, you will be asked to step out of the
testing room into the waiting area.

Do I have to request a special testing accommodation to bring a hearing aid,

cochlear implant or insulin pump into the testing room?
If the device makes any kind of noise, the candidate must request and be approved for special testing
accommodations in advance. If the device does not make any noise, no testing accommodation is required. All
devices will be visually inspected prior to the candidate being admitted into the testing room. If the device needs
to be readjusted after the exam has begun, the candidate will be asked to step into the waiting area.

How much time will I have for the examination?

The appointment time for the OTR and COTA examinations is 5 hours and 15 minutes. The exams themselves
are only 4 hours long. The extra appointment time is to allow candidates to complete administrative, tutorial,
survey information.

Will there be other candidates testing at my test center?

It is likely that there will be other candidates taking different examinations at your test center during your exam
appointment. The layout of the testing cubicles ensures you have ample workspace and privacy from other test
takers.

Can I take a break during the examination?

Yes, you may take breaks during the examination. However, the exam clock will continue to run while you are on
the break. You will be required to complete all check-in procedures to re-enter the testing room. This may require
waiting for other exam candidates to complete check-in procedures.

Is computer knowledge necessary?

No. The optional tutorial(s) that accompany the examinations walk you through the process of selecting answers
and progressing through the examination on the computer. Tutorial time does not count towards your allotted
examination time. You can repeat the tutorial(s) if you wish.

Can I Make Notes During the Exam?

You can request to use a wet marker board from the TCA during your examination. If you require additional
materials, you will need to wait for the TCA to clean the originally issued wet marker board before reusing.

Can I eat/drink in the testing room?

No; however, beverages and snacks can be stored in lockers located in the testing center waiting area.
Candidates may eat or drink in the waiting area only.

www.nbcot.org

Page 21

What can I do if the computer malfunctions while taking the exam?

You MUST alert the TCA immediately. Staff will make every effort to remedy the situation as soon as possible.
The time spent to remedy the problem will not count as part of your examination time. Due to the nature of the
exam delivery system, no previously entered examination data can be lost. If the problem cannot be remedied
within 30 minutes, you have the right to reschedule the examination for another day within your eligibility period.

What happens if I experience an administrative or technical issue during my exam?

Examples of administrative or technical issues include: computer screen freezing, power failure, approved
accommodations not being available, excessive noise or physical disruption within the testing center, or test
not available at scheduled time. You MUST file a complaint immediately with the TCA or before leaving the test
center and you MUST request a ticket number. You MUST ALSO contact NBCOT by e-mail within 24 hours after
the incident occurred and provide NBCOT with the ticket number and case summary. Administrative or technical
complaints MUST be e-mailed to credentialingservices@nbcot.org. NBCOT will confirm receipt of the complaint.

Important Note:
Examination challenges of any kind may result in the delay of the examination score being released and
the pass/fail status being posted to the NBCOT web site. All exam scores are held until the examination
challenge has been fully investigated and resolved.

What is my obligation to maintain confidentiality after I take the exam?

The NBCOTs certification examinations and the items contained therein are protected by federal copyright
law. No part of an examination may be copied, reproduced, or shared in any manner, in part or whole, by any
means whatsoever, including memorization, verbal, written, and/or electronic transmission which includes but
is not limited to (e.g., Facebook, Twitter, cell phone, blogs, discussion forums). Posting examination or study
tool questions to social media or other networking sites constitutes a test security and copyright violation as
noted in Principle 1 of the NBCOT Candidate/Certificant Code of Conduct. Infringements of the NBCOT Code of
Conduct are investigated by the NBCOTs Qualifications and Compliance Review Committee (QCRC) to determine
appropriate disciplinary action.

Important Notes:

NBCOT cannot address administrative or technical complaints with Prometric if you did not first file a
complaint at the test center.

Administrative or technical complaints submitted after the candidates pass/fail status is posted
will not be acknowledged.

Appeal of an administrative or technical complaint can only be filed AFTER an administrative or

technical complaint has: 1) been submitted by the candidate 2) been reviewed by NBCOT, and 3) had a
decision rendered.

What to Bring to the Exam:

Two forms of identification:

First and last names on IDs MUST match name on ATT letter
One must be government-issued photo ID with signature
Signatures on BOTH ID documents must be CLEAR
Page 22

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AFTER THE EXAM: QUESTIONS & ANSWERS

How are the exams scored?
Each administration of the NBCOT certification examinations is designed to fairly assess the knowledge
required for entry-level practice. The total raw score (the total number of correct responses) is converted to a
scaled score ranging from 300 to 600 points. To ensure scores on different forms of the examination have
the same meaning, raw scores are converted to scaled scores representing equivalent levels of achievement
regardless of the form of examination taken. The NBCOT minimum passing scaled score is 450. For more
information on scoring, please refer to the Foundations of the NBCOT Certification Examinations, which can be
accessed at www.nbcot.org > Publications > Foundations of the NBCOT Certification Examinations.

How will I get my examination result?

After the administration of the examination, your examination will be scored by NBCOT. You should refer to the
NBCOT scoring calendar for the exam scoring schedule and dates. The scoring calendar can be accessed at

www.nbcot.org > Certification Candidates > Scoring Information > Exam Scoring Calendar.
You can view your unofficial pass/fail status through your online account after the exam has been scored
usually within two to three days after the scoring date.

Important Note: You will get an error message if you attempt to view your results before the exams have
been scored and the results uploaded.

The official score report is mailed within four (4) weeks of taking the examination. If you do not receive your
score report within four to six (4-6) weeks of taking the examination you should submit a Duplicate Score Report
Request. Duplicate score reports are provided at no cost if submitted within 4-6 weeks after taking the exam.
Beyond six (6) weeks, the Duplicate Score Report Request Form MUST be accompanied with the appropriate
fee. The form can be accessed at:

www.nbcot.org > Forms > NBCOT Certification Examination Forms > North America > Duplicate Certificate Request Form.

Important Notes:

Telephone requests for duplicate score reports are not accepted

Score information and certification numbers will not be released to anyone via telephone,
fax, or e-mail.

No candidates score identified by name is released to any party without the candidates
prior written permission

www.nbcot.org

Page 23

Passing Candidates will receive by mail a congratulatory letter

that includes the total scaled score on the examination, an
official NBCOT certificate and wallet card, and the Credentials
Essentials Toolkit.

SAMP

Upon receipt of the score report, candidates who hold a stateissued limited or temporary permit(s) or license(s) which
allows them to practice are advised to immediately contact the
regulatory agency in that jurisdiction to determine whether their
limited or temporary permit/license remains valid. Since the
laws and regulations of each jurisdiction vary, it is essential that
the regulatory agency is contacted directly.

LE

Failing candidates will receive a score report that includes the total scaled score, along with performance
information for each domain area of the examination. The information on the domain areas is provided
for diagnostic purposes only. The score report will include information about how to register to retake the
examination (see retaking the examination section on page 25 for more details).
For new U.S. educated candidates who take the exam within one year of graduating, NBCOT reports aggregate
pass/fail information (without names) to the U.S. occupational therapy education program from which they
graduated. NBCOT only provides program directors with a list of the names of candidates who pass the OTR
or COTA Certification Examinations. In the event that an education program director requests a certification
examination score, the exam candidate MUST grant permission to release his/her score. Candidates may do so
by contacting NBCOT to request a Candidate Score Report Release Form.

Can I Appeal My Examination Result?

Yes, you may appeal your examination result; however, failing the examination alone is not sufficient grounds for
an appeal. The appeal MUST be submitted in writing to NBCOT and MUST specifically state the reason(s) for the
appeal, and why the appeal should be granted. Appeal letters should be sent to NBCOT by traceable mail signature
of receipt required to:
NBCOT Managing Director, Competency Assessment
12 South Summit Avenue, Ste 100
Gaithersburg, MD 20877
The appeal letter MUST be received by NBCOT within 14 days of receipt of the online examination pass/fail results.
Correspondence received after this date will not be accepted. NBCOT will provide a response to the candidate
regarding the outcome of the appeal within 21 days of receipt of the appeal letter.

Important Note:
Upon receipt of the score report, candidates who hold a state-issued limited or temporary permit(s) or
license(s) which allows them to practice are advised to immediately contact the regulatory agency in that
jurisdiction to determine whether their limited or temporary permit/license remains valid. Since the laws
and regulations of each jurisdiction vary, it is essential that the regulatory agency is contacted directly.

Page 24

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RETAKING
THE EXAMINATION
Any candidate who fails the examination may apply for another examination administration. The re-application
process is the same as the initial application process. Detailed instructions can be found in the candidates score
report. When re-applying, the following should be noted:
There is a 30-day waiting period after the last examination date before the candidate may test again.
The candidate MUST submit a new application in order to re-test. Instructions will be provided in the
candidates score report.
If the candidate has had a name change since the last exam administration, the candidate MUST follow
the instructions on page 14, Name Change (Retake Candidates), before submitting an application for the
certification examination. Failure to do so could result in an administrative fee to correct a name on the
Authorization to Test (ATT) letter.
If re-applying online, the candidate should log onto their online account, using the e-mail address and
password selected during initial account set up. A new account should not be created. A fee will be
assessed for duplicate accounts. After logging on, click the Re-Apply button.

Important Note:
The candidate MUST wait 15 business days after the previous test date to gain access to the Re-Apply
button. This button will only appear on the candidates account if the candidate is eligible to re-apply at
that time.

A new application fee will be assessed. New fees will also be assessed for score reporting, confirmation
notices, or any other services.
If the candidate previously tested on an ACVF, an official final transcript MUST be submitted. Refer to
transcript criteria on pages 10-11.
Any candidate who previously provided the official final transcript to NBCOT does not need to submit a
transcript again, unless requested by NBCOT to do so.
After eligibility has been approved, the candidate will receive a new ATT Letter, with a new 90-day testing eligibility
period.

www.nbcot.org

Page 25

NBCOT CERTIFICATION RENEWAL:

KEEP YOUR CREDENTIAL ACTIVE!
Upon initial NBCOT certification, the credential is valid for a period of three (3) years. Certification renewal is
required to maintain active certification.
The requirements for certification renewal are:
a completed Certification Renewal Application
the appropriate renewal application fee
accrual of required Professional Development Units (PDU): certificants accrue 36 PDU in the three (3) years
between their initial certification date and the renewal due date
abidance by the NBCOT Candidate/Certificant Code of Conduct
Fulfilling the certification renewal requirements entitles a certificant to continue using the OTR or COTA credential.

Why Renew ?
One of the best values of certification renewal is the continued use of the NBCOT credential. The OTR and COTA
credentials are representative of practitioners who satisfy national standards in education, experience, and
professional conduct, and demonstrate that they possess the knowledge and skills to be accountable for the
delivery of professional services. Current certificants identify many reasons for maintaining certification including
accountability, professional commitment and credibility.

How to Renew Certification

There are two ways to renew certification:
1. Submit an online application at www.nbcot.org
2. Complete and mail in a hardcopy application
Prior to a certificants renewal due date, NBCOT sends a courtesy reminder notification and renewal instructions. For
this reason, it is essential that the certificant maintain their current contact information with NBCOT, including e-mail
address. Upon renewal, all certificants receive an updated certificate and wallet identification card.

Page 26

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Summary of Exam Candidate Requests

Service Request
Name change before ATT letter is
issued (first-time candidate)
Name change after ATT letter is
issued (first-time candidate)

Service Requirements
Complete Name Change Request Form and submit with copies of
government issued IDs reflecting your name change, i.e., drivers license,
state issued ID or passport.
Complete Reactivation/Reissue of Authorization To Test (ATT) Letter Form,
with fee, and copies of government issued IDs reflecting your name change,
i.e., drivers license, state issued ID or passport.

Page
Reference
14

14

Name change (retake candidate)

Must contact NBCOT by telephone or e-mail for instructions prior to

submitting online exam application; if candidate applies online prior
to contacting NBCOT, administrative fee is assessed to correct online
application.

14

Repeating examination candidates

There is a 30-day waiting period after the last examination date before the
candidate may test again.

25

Mailing address change

New address changes can only be made to application before the ATT letter
is generated. New address must be updated on exam application. Once ATT
letter is issued, the next opportunity to change address will be at Prometric
Test Center on day of exam. Address changes may also be made if/when an
ATT letter is reactivated/reissued.

15

E-mail address change

Online candidates must provide a valid (working) e-mail address that is

capable of receiving e-mail from NBCOT. It is candidates responsibility
to keep e-mail address current with NBCOT. Candidates can update
their e-mail address by contacting NBCOT customer service via e-mail at
onlineexamapp@nbcot.org.

Reactivation of ATT letter

ATT letter is active for 90 days. If candidate does not take exam within the
90 day period, the ATT letter can be reactivated for additional 90 days.
An additional fee is required. Reactivation of ATT letter may be requested
online, by logging onto the candidates account, or by submitting the
appropriate form available on the NBCOT website.

12

Exam score report request to state

regulatory boards (prior to exam
application being approved)

Request when submitting exam application. A fee for each state is required.

8-9

Exam score report request to state

regulatory boards (after the exam
application has been approved)

Complete Official Score Transfer Request Form (available at www.nbcot.

org). A fee for each state is required. Increased fee after exam application
has been submitted.

8-9

Confirmation of Exam Registration

and Eligibility to Examine Notice
Request (prior to submitting exam
application)

Request when submitting exam application. A fee for each state is required.

8-9

Confirmation of Exam Registration

and Eligibility to Examine Notice
Request (after submitting exam
application)

Complete Confirmation of Exam Registration and Eligibility to Examine

Notice Request Form (available at www.nbcot.org). A fee for each state is
required.

8-9

If an exam candidate has been

charged with and/or convicted of
a felony at any time before or after
issuance of an Authorization To Test
(ATT) letter

Based on Candidate/Certificant Code of Conduct (candidate must agree

to when signing exam application attestation statement), candidate must
notify NBCOT of felony charge and/or conviction. If candidate fails to inform
NBCOT, disciplinary action may result.

www.nbcot.org

Page 27

APPENDIX

CONTENTS
Examination Application Procedures Checklist ................. A
Certification Examination Application ................................ B

www.nbcot.org

Page 29

EXAMINATION APPLICATION
PROCEDURES CHECKLIST
Completing the NBCOT Examination Application and Submitting Fees:
I have read the NBCOT Certification Examination Handbook.
Graduates with an accredited U.S. entry-level occupational therapy degree: I am cleared for graduation
(i.e., graduation is certain) or I have been awarded the degree/certificate, and I have completed the
required fieldwork BEFORE submitting my examination application.
If applying online for the first time, I have set up a new account with my valid/working e-mail address
(username) and password. If I have an existing online application account, I have logged on with my
username and password and then I have clicked on the Re-Apply button.
If applying with a paper application, submit payment by mail to NBCOT lockbox address (refer to exam
application).
If I want NBCOT to send an Official Score Transfer or Confirmation of Examination Registration and
Eligibility to Examine Notice to a regulatory entity or employer, I have indicated so on my application.
If applying online, I have printed out the receipt/invoice for my records as proof of successfully submitting
the application. If submitting a paper application, I have made a copy for my records.
I have paid all applicable fees.
If I have had a name change at any time prior to taking the certification examination, I have sent to NBCOT
a Name/Address Change Request, the appropriate legal documentation, and fee if applicable.
Graduates With an Accredited U.S. Entry-Level Occupational Therapy Degree:
I have requested my registrar to mail my official final transcript or ACVF to NBCOT in a sealed envelope.
Note: This must be requested AFTER the application has been submitted.
If I have attended an academic program that awards the degree before the completion of fieldwork, I have
made sure that the fieldwork verification has been sent to NBCOT.
Requesting Special Testing Accommodations
If I have a professionally diagnosed disability covered by the Americans with Disabilities Act (ADA) and
I wish to request testing accommodations, I have submitted the required Special Accommodations
Application and documentation.
Note: This must be done AFTER the application is submitted, but BEFORE the ATT Letter is issued.
Scheduling with Prometric
I have contacted the Prometric Call Center to schedule my appointment. Note: An examination date cannot
be scheduled without an ATT Letter.
If I need to cancel/reschedule my examination date, I will follow the procedures outlined in the
cancellation policy.

Appendix A

www.nbcot.org

Certification Examination
Application OTR and COTA
ID 33 rev112613

Section 1: Applicant Information

I am a graduate from a program:
I am a:

within the U.S. or its territories

first-time applicant

outside the U.S.

repeating test-taker

Date of Birth:
First Name:
Middle Name:
Last Name:
Mailing Address:
City:
State/Province:
Postal Code: Country:
Phone: home

work

mobile

Phone: home

work

mobile

Social Security Number:

If no SSN, skip to next line and provide Student ID#.

Student ID Number:
This is the number assigned by school for U.S. graduates; assigned by NBCOT for OTED approvals
(including internationally-educated).

E-mail Address (must be active):

Choose a Password:
This password can be used to check your application status online.

Section 2: General Information (optional)

Gender:

Male

Female

American Indian or Alaskan Native

Asian
Ethnicity:
Black or African American
Hispanic/Latino of any race
Age:

under 21

21-25

26-29

Multi-racial
Native Hawaiian or Other Pacific Islander
White
30-39

www.nbcot.org

40 or above

Appendix B

Name:

Section 3: Credential Information

Exam Level:

CERTIFIED OCCUPATIONAL THERAPY ASSISTANT COTA

OCCUPATIONAL THERAPIST REGISTERED OTR

U.S. School Name*:
U.S. School Code*:

Graduation Date (mm/yyyy):

*available online at www.nbcot.org/pdf/US-School-Codes.pdf

Exam Eligibility Pathway:
OTR Credential:

COTA Credential:

Entry-Level Masters Degree

Entry-Level Doctoral Degree
OTED (including internationally educated)
Associate Degree
Certificate

Educational Program Director Requests

In the event that my education program director requests my certification examination score, I hereby grant permission
to release my score. Please check one:
Yes, I grant permission to release my score to my education program director upon their request.
No, I prefer not to release my score.

Section 4: Character Questions

HAVE YOU EVER...
been convicted of a crime? (NOTE: Certificants must answer affirmatively if records or convictions
have been pardoned, expunged, released or sealed.)

Yes No

had any professional license, registration, or certification denied, revoked, suspended, or subject to
probationary conditions by a regulatory authority or certification board?

Yes No

been found by any court, administrative, or disciplinary proceeding to have committed negligence,
malpractice, recklessness, or willful or intentional misconduct which resulted in harm to another?

Yes No

been suspended and/or expelled from a college or university?

Yes No

If you answer yes to any of the character questions, please refer to page 7 of the handbook for further detail
regarding documentation requirements.
All documentation must be submitted to and reviewed by NBCOT before the examination application will be
approved.
Mail documentation to:
NBCOT, Inc.; Attn: Qualifications and Compliance Review
12 South Summit Avenue, Suite 100
Gaithersburg, MD 20877

Appendix B

www.nbcot.org

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Section 5: Application Acknowledgement and Attestation Statement

By submitting this exam application, you are attesting to having read and understood the following NBCOT
Certificant Attestation Statement and the information provided in the NBCOT Certification Examination Handbook.
Please read this statement carefully.
I have read, understand, and agree to adhere to the provisions of the current edition of the NBCOT Certification
Examination Handbook, the NBCOT Candidate/Certificant Code of Conduct (hereinafter referred to as the Code of
Conduct), and the NBCOT Procedures for Enforcement of the NBCOT Code of Conduct (hereinafter referred to as the
Procedures), all of which can be found on the NBCOT website at www.nbcot.org. By signing below, I am attesting
that I have personally completed the exam application and that the information I submit in the application myself
and in any required accompanying or subsequent documentation is true and accurate to the best of my knowledge.
Additionally, I understand that persons who apply for certification as an OCCUPATIONAL THERAPIST REGISTERED
OTR or CERTIFIED OCCUPATIONAL THERAPY ASSISTANT COTA or persons who have been certified by NBCOT, are
subject to the Code of Conduct and the Procedures. I understand that from time-to-time NBCOT may amend its
requirements, policies, and procedures for initial certification, certification renewal, and Procedures for Enforcement
of the Code of Conduct. During my three-year certification cycle, I agree to notify NBCOT in writing of any violation
of the Code of Conduct (e.g. felony charge and/or conviction, suspension, or revocation of a license to practice
occupational therapy).
I agree to hold NBCOT, its directors, officers, employees, and agents free from any damage or complaint by reason
of any action taken in connection with the score or score given with respect to this or any other NBCOT certification
examination, or the failure of NBCOT to issue me certification. I understand that if it is confirmed I was not eligible
at the time I examined, my examination score will be voided. If it is ever determined that I was a participant in
any testing irregularity, such as use of any electronic device during the examination and/or break, or cheating,
to include discussing, transmitting or copying a test item(s) or answer(s) to a third-party, before, during or after
the examination, my certification or eligibility status with NBCOT may be changed. Further, I understand that if I
need to file an examination administrative or technical complaint that I must file such a complaint on-site at the
Prometric Test Center, and must request a ticket number. I also agree to notify NBCOT in writing of any address
and/or name change within thirty days (30) after the change becomes effective. If requested to do so, NBCOT may
verify my certification status. I hereby consent to NBCOTs release of any information regarding this application,
my examination eligibility, my examination administration, or my certification status to any academic institution,
employer, regulatory agency, or other party that may inquire in writing.
I understand that NBCOT reports aggregate school performance data to all occupational therapy education programs
and to the Accreditation Council for Occupational Therapy Education, (ACOTE) on an annual basis.
Signature:

Date:

Please print name here:

Section 6: Special Testing Accommodations - US Testing Only

I am requesting Special Testing Accommodations for the certification examination, due to a documented disability.
Please submit a completed Special Testing Accommodations Application with supporting documentation
to NBCOT. The handbook and application can be found online at www.nbcot.org.
I am reapplying for the certification examination, and am requesting identical accommodations previously approved by
NBCOT.
If you were approved to take the exam with accommodations prior to 2011, you may be required to
submit updated documents.
I am reapplying for the certification examination, and am requesting different or additional accommodations.
Please submit a completed Special Testing Accommodations Application with supporting documentation to NBCOT. The
handbook and application can be found online at www.nbcot.org.

www.nbcot.org

Appendix B

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Section 7: Confirmation of Examination Registration and Eligibility to Examine Notice

Please send a Confirmation of Examination Registration and Eligibility to Examine Notice to the following third
parties. I have included the $45 fee for EACH notice requested. Please Note: When a confirmation notice is
requested for a third party, the candidate will receive a copy at no extra charge. Fees for confirmation notices are
non-refundable.

To State Regulatory Boards:

Please Note: ONLY the states listed below accept confirmation notices.
Alaska
Idaho
Montana
Oklahoma
Arizona
Arkansas
California
Delaware
District of Columbia
Florida

Illinois
Indiana
Kentucky
Maine
Maryland
Massachusetts

Nebraska
Nevada
New Jersey
New Mexico
New York
North Dakota

Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Dakota
Tennessee

Georgia

Missouri

Ohio

Texas

Utah
Vermont
Virginia
West Virginia
Wyoming

To Employers and Other Third Parties:

Attn:
Company Name:
Address:
City: State: Postal Code/Zip:

Section 8: Official Score Transfer

Please send an Official Score Transfer to the jurisdiction(s) selected below. I have included the $40 fee for EACH
score report. Please Note: No state will receive a report unless it is marked here and the additional payment for
EACH state marked is enclosed. Fees for score reports are non-refundable. ONLY the states listed below accept
score reports.
Alabama
North Dakota
Utah
Idaho
Minnesota
Illinois
Mississippi
Alaska
Ohio
Vermont
Arizona
Oklahoma
Virginia
Indiana
Missouri
Arkansas
Iowa
Montana
Oregon
Washington
California
Kansas
Nebraska
Pennsylvania
West Virginia
Colorado
Kentucky
Nevada
Puerto Rico
Wisconsin
Connecticut
Louisiana
New Hampshire
Rhode Island
Wyoming
Delaware
Maine
New Jersey
South Carolina
District of Columbia
Maryland
New Mexico
South Dakota
New York
Tennessee
Florida
Massachusetts
Georgia
Michigan
North Carolina
Texas

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Section 9: Fees and Payment for Paper Applicants

Examination Application/Study Tools

NBCOT offers a number of study tools to assist candidates with their
exam preparation including online tools, practice tests, and study guides.
Visit www.nbcot.org > Study Tools Central
for more information.
Each

Service Fees:

Qty.

Amount

Examination Application Fee

$500 (online application)

Online Application Fee

$500

$540 (paper application)

Paper Application Fee

$540

Official Score Transfer Request

$40 per score report

Official Score Transfer

$40

Confirmation of Examination
Registration and Eligibility Notice

$45 per notice

Confirmation Notice

$45

Returned Check Fee

$35

Total Payment =

NBCOT Application Payment

Name:

Credit Card Number:

Street Address:

Expiration Date: 3-digit CVV code:

Credit Card Holders Name:

City:

Card Holders Address (required):

State/Province: Postal Code:

Country:
Phone:

I authorize the amount indicated above to be charged

to my credit card.

E-mail:

Signature of Cardholder (required)

Payment:
Check

Money Order Visa MasterCard

Please make checks and money orders payable to NBCOT.

Checks must be drawn on a U.S. bank.

Mail completed application, signed attestation, any required

documentation and payment together in one envelope, to:

NBCOT, Inc.
P.O. Box 64971
Baltimore, MD 21264

www.nbcot.org

Appendix B

Appendix B

www.nbcot.org

www.nbcot.org

2014 National Board for Certification in Occupational Therapy, Inc.

NBCOT (formerly American Occupational Therapy Certification Board AOTCB) is a service and
trademark of the National Board for Certification in Occupational Therapy, Inc.
OTR is a certification mark of the National Board for Certification in Occupational Therapy, Inc.
COTA is a certification mark of the National Board for Certification in Occupational Therapy, Inc.
All marks are registered in the United States of America.

12 S. Summit Avenue, Suite 100

Gaithersburg, MD 20877
www.nbcot.org