Form B2 - Supervisor Verification Statement

This form is required for Provisional licensees, applying under Category B or Category G.

Download Form B2 

Forms & Resources Category F Supplemental Information Form A2 Credential Verification Forms A3, A4, A5, A6, A7 Form B2 - Supervisor Verification Statement Form C2 Supplemental Legal Reporting Diet Orders Complaint Form Guideline A for Unlicensed, Non-Exempt Persons Guideline B, Evidence-Based Nutrition Practice Guideline C, Guidance on Supervision License Application Helpful Links ID Cards and Certificates Telehealth and Licensing