61-35.025. Board of Veterinary Medicine Departmental Forms  


Effective on Tuesday, December 5, 2023
  • 1The following Veterinary Medicine forms can be obtained at www.myfloridalicense.com/dbpr/ or by contacting the Department of Business and Professional Regulation, 212601 Blair Stone Road, 25Tallahassee, FL 32399-0790, (850)487-1395:

    29(1) Any person desiring to apply for an examination or re-examination and licensure, shall submit a completed Form DBPR VM 1, Application for Licensure: Examination or Re-Examination, effective 57October 2022, 59adopted and incorporated by reference at: 65http://www.flrules.org/Gateway/reference.asp?No=Ref-1496967.

    68(2) Any person desiring to apply for registration of a Veterinary Premise, shall submit a completed Form DBPR VM 2, Application for registration of a Veterinary Premise, effective November 2020, adopted and incorporated by reference at: 104http://www.flrules.org/Gateway/reference.asp?No=Ref-12382106.

    107(3) Any person desiring to apply for licensure of a Limited-Service Veterinary Medical Practice Permit, shall submit a completed Form DBPR VM 3, Application for Licensure: Limited-Service Veterinary Medical Practice Permit, effective November 2020, adopted and incorporated by reference at: 147http://www.flrules.org/Gateway/reference.asp?No=Ref-12383149.

    150(4) Any person desiring to apply for a Limited-Service Veterinary Medical Practice Clinic Registration, shall submit a completed Form DBPR VM 4, Application for Licensure: Limited-Service Veterinary Medical Practice Clinic Registration, effective November 2020, adopted and incorporated by reference at: 190http://www.flrules.org/Gateway/reference.asp?No=Ref-12384192.

    193(5) Any person desiring to apply for a Limited-Service Veterinary Medical Practice Clinic Updates, shall submit a completed Form DBPR VM 5, Application for Limited-Service Veterinary Medical Practice Clinic Updates, effective November 2020, adopted and incorporated by reference at: 232http://www.flrules.org/Gateway/reference.asp?No=Ref-12385234.

    235(6) Any person desiring to reinstate a null and void license, shall submit a completed Form DBPR VM 6, Application for Individual Licensure: Reinstate Null and Void License, effective November 2020, adopted and incorporated by reference at: 272http://www.flrules.org/Gateway/reference.asp?No=Ref-12386274.

    275(7) Any person or organization desiring continuing education provider approval, shall submit a completed Form DBPR VM 7, Continuing Education Provider Application, effective November 2020, adopted and incorporated by reference at: 306http://www.flrules.org/Gateway/reference.asp?No=Ref-12387308.

    309(8) Any person or organization desiring continuing education course approval, shall submit a completed Form DBPR VM8, Course Approval Application, effective November 2020, adopted and incorporated by reference at: 338http://www.flrules.org/Gateway/reference.asp?No=Ref-12388340.

    341(9) Any person requesting to change their address or personal name, shall submit a completed Form DBPR VM9, Request for Address or Name Change, effective November 2020, adopted and incorporated by reference at: 374http://www.flrules.org/Gateway/reference.asp?No=Ref-12389376.

    377(10) Any person desiring to apply for licensure, shall submit a completed Form DBPR VM10, Authorization for Interstate Exchange of Examination and Licensure Information, effective November 2020, adopted and incorporated by reference at: 410http://www.flrules.org/Gateway/reference.asp?No=Ref-12390412.

    413(11) Any person applying to change the status of their license, shall submit a completed Form DBPR VM11, Change of Status Application, effective May 2023, adopted and incorporated by reference at: 444http://www.flrules.org/Gateway/reference.asp?No=Ref-15990446.

    447(12) Any person applying to update the premise/clinic name information, shall submit a completed Form DBPR VM12, Veterinary Premise/Clinic Name Change Application, effective November 2020, adopted and incorporated by reference at: 478http://www.flrules.org/Gateway/reference.asp?No=Ref-12392480.

    481(13) Any premise/clinic applying to update the responsible veterinarian for that veterinary premise/clinic, shall submit a completed Form DBPR VM13, Change of Responsible Veterinarian Application, effective November 2020, adopted and incorporated by reference at: 515http://www.flrules.org/Gateway/reference.asp?No=Ref-12393517.

    518(14) Any person applying for issuance of a temporary license as a veterinarian, shall submit a completed Form DBPR VM14, Application for Veterinarian Temporary License, effective November 2020, adopted and incorporated by reference at: 552http://www.flrules.org/Gateway/reference.asp?No=Ref-12394554.

    555Rulemaking Authority 557455.203, 558455.213, 559455.2179, 560455.256171 FS. Law Implemented 565455.2179, 566455.271, 567474.206, 568474.2125, 569474.215, 570474.217, 571559.79 FS. 573History‒New 12-7-20, Amended 8-11-21, 1-31-23, 12-5-23.

     

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