Training Program

Submit your completed application and fees to the board office. To apply online select the “Apply Online” button above.

If you prefer, you may apply using the paper application.  To download the paper application, click the “Resources” tab above and select “Training Program Application” from the “PDF Applications” drop-down menu.

Please download, print, and complete the paper application. Submit your application along with the required fees to:

Florida Board of Clinical Laboratory Personnel
P.O. Box 6330
Tallahassee, FL 32314-6330

Within 7-14 days of receipt of your application, the board office will notify you of the status of your application and any remaining required documentation that needs to be submitted.

The following documentation is required to complete an initial training program application:

1. Training Program Documentation- Along with the application and appropriate fees, please submit personnel/instructor roster, student enrollment roster, verification of accreditation by the NAACLS, CAAHEP, or ABHES, length of hours of training students spend in class and in the laboratory, program director resume, and training program affiliates.
2. If you responded “Yes” to any of the Health History questions on the application, submit a letter to the board office. The letter must provide relevant dates and circumstances of your treatment and/or addiction and include the names and addresses of the medical practitioners or hospitals that provided your treatment.
3. If you responded “Yes” to any of the Discipline History questions on the application, contact the state board where the discipline occurred to request that certified copies of the board order and any other related documentation be submitted directly to the board office.

You must also submit a letter in your own words describing the circumstances of the offense(s). Your letter must include the date(s) of the original offense(s), the charge(s) and the jurisdiction where it occurred.

4. If you responded “Yes” to any of the Criminal History questions on the application, contact the Clerk of the Court in the jurisdiction in which the offense occurred and request that a certified copy of your final/official court disposition be mailed directly to the board office. If the records are unavailable, you must have a letter on court letterhead sent from the Clerk of the Court attesting to their unavailability.

If applicable, request the following documentation to be sent directly to the board office: a certified copy of your completion of probation and documentation showing that you have paid all fines. If the records are unavailable, you must have a letter on court letterhead sent from the Clerk of the Court attesting to their unavailability.

You must also submit a letter in your own words describing the circumstances of the offense(s). Your letter must include the date(s) of the original offense(s), the charge(s) and the jurisdiction where it occurred.

Note: All applications with Criminal History, Discipline or Health History will be presented to the board for review. Board staff will notify you of the date that your application will be presented in the event you would like to attend.

At least 90 days before your license expires, the department will mail you a renewal notification postcard to your last known mailing address of record. You will have until midnight on the day your license expires to renew. Failure to renew an active or inactive license by the expiration date will result in the license being placed in delinquent status. Failure by a delinquent licensee to become active or inactive before the expiration of the current licensure cycle renders the license null and void without any further action by the board or the department.

Board of Clinical Laboratory Personnel
Post Office Box 6330
Tallahassee, FL 32314-6330

1. All information must be printed in black ink or be typewritten.
2. Attach a certified check or money order to the application, made payable to the Department of Health. Do not send cash
3. All training programs (universities, community colleges, vocational technical schools, hospitals or laboratory based) for laboratory personnel should complete this application.
4. All training programs must complete all portions of this application except where stated for nationally accredited programs.
5. All training programs shall attach a list of trainees at the time of renewal application.
6. If you responded “yes” to any of the Discipline History questions on the application, contact the state board where the discipline occurred to request that certified copies of the board order and any other documents relative to the disciplinary action be submitted directly to the board office. You must also submit a letter in your own words describing the circumstances of the offense. Your letter must include the date of the original offense, the charge and the jurisdiction where it occurred.
7. If you responded “yes” to any of the Criminal History questions on the application, contact the clerk of courts in the jurisdiction in which the offense occurred and request that a certified copy of your final/official court disposition be mailed directly to the board office. If the records are not available, you must have a letter on court letterhead sent from the clerk of the court attesting to their unavailability.

Request the following documentation to be sent directly to the board office: a certified copy of your completion of probation and documentation showing that you have paid all fines. If the records are not available, you must have a letter on court letterhead sent from the clerk of the court attesting to their unavailability.

You must also submit a letter in your own words describing the circumstances of the offense. Your letter must include the date of the original offense, the charge and the jurisdiction where it occurred.

Note: All applications with Criminal and/or Disciplinary History will be presented to the board for review. Board staff will notify you of the date that your application will be presented in the event you would like to attend.

Upon receipt of all required documentation, board staff will review and process your request. If any additional information is required you will be notified.