How to get an OT or OTA license in Utah

Utah licenses occupational therapists and occupational therapy assistants through the Division of Professional Licensing (DOPL) in the Department of Commerce. Everything below comes from the board's own pages and rules, checked October 18, 2026. Fees and rules change, so confirm on the linked pages before you pay.

Check with your board. OT Ticket is a study aid, not clinical or legal guidance. Not affiliated with, endorsed by or connected to the National Board for Certification in Occupational Therapy (NBCOT), AOTA, ACOTE, the OT Compact Commission or any state board; NBCOT, OTR and COTA are their marks, used here only to name the exam.

Utah at a glance

Occupational therapist (OT)OT assistant (OTA)
ExamNBCOT OTR exam (180 questions, 4 hours), $540 to NBCOTNBCOT COTA exam (190 questions, 4 hours), $540 to NBCOT
Board feesShown on DOPL's application; check with DOPLSame
Background checkFingerprint cards required (the top reason for delays or denials)Same
OT CompactMember, not accepting applications yet. Utah has enacted the OT Compact but has not opened privilege applications, so for now you need a full Utah license. (OT Compact, checked October 18, 2026)

Utah, step by step

Utah Division of Professional Licensing (DOPL), Occupational Therapy

  1. Apply online to DOPL for the OT or OTA license.
  2. Transcripts: have your school's registrar email official transcripts showing graduation from an approved program.
  3. NBCOT: pass the OTR or COTA exam and have the result sent to DOPL.
  4. Fingerprints: if you use DOPL's fingerprinting service, submit your application first, then book at doplfingerprints.youcanbook.me. With an outside agency, send the original cards with the application or shortly after. A complete application typically takes 21 days.
  5. Compact: Utah has enacted the OT Compact but is not accepting privilege applications yet.

Sources: Utah DOPL: occupational therapy, Utah DOPL: apply for an OT license, Utah DOPL: apply for an OTA license. Checked October 18, 2026.

Practice for the NBCOT OTR exam freeOTR questions on the 2022 outline, scenario sets built like the real ones, a score report by task. Practice for the COTA exam freeFor OT assistants: six-option multi-select items like the real ones, every answer cited.

The national steps, briefly

Every state licenses occupational therapists and OT assistants on NBCOT certification: an ACOTE-accredited degree with its Level II fieldwork, then NBCOT's exam (the OTR exam for OTs, 180 questions in 4 hours; the COTA exam for OT assistants, 190 questions in 4 hours; 450 on a 300-600 scale passes; $540 to apply online). NBCOT certification is not a license: you apply to your state board separately, and NBCOT sends the board your score (the Score Transfer is free if you add it when you apply for the exam, $35 later). The full walk-through: How to get your OT license.

Official pages