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Hearing Aid Dealers and Fitters Licensing Board

Forms

The Hearing Aid Dealers and Fitters Licensing Board forms on this page are the ONLY paper forms still available from the Board. With the exception of these forms, you will need to go to our Applications page in order to access the appropriate electronic form for application or renewal.

NEW! Individual License Renewal Update for Trainee or Business Location

For individual licensees: download, complete and then upload the completed form. Download the Renewal Form here. This is a one-time mandatory step for the new Renewal/Licensing system.

Trainee Permit Notary Form

When applying for your Trainee Permit, you will need to download, complete and return to the Board the Trainee Permit Notary Form. Download the Trainee Permit Notary Form here. The form needs to be completely filled out and you and your supervisor need to sign the completed form in front of a notary public.

Trainee Supervision Report and Log

Upon completion of your trainee permit supervision or when there is a change in the trainee permit supervision plan, the 5-page Trainee Supervision Report and Trainee Supervision Log must be submitted to the Board within 30 calendar days.

Download the Trainee Supervision Report and Log here. These are fillable .docx forms. Both forms need to be completed, and you and your supervisor need to sign the Trainee Supervision Log.

Contact the Board

hearing@odh.ohio.gov

Hearing Aid Dealers and Fitters Licensing Board
246 North High Street
Columbus, Ohio 43215-2406
1 614-466-5215 Telephone
1 614-564-2484 Fax

Page updated 11/15/2017