External Payment App

Please provide this information so your request can be processed sufficiently, within 7-10 business days.

The State Board you need the license verification for and the method in which you wish for that to be sent.

-Email: please provide state board's email address

-USPS: please provide state board's name and mailing address.

Fee Type

Select...

Fee Amount

Name

Looks good!

Phone

Looks good!

Email

Looks good!

License # (If Applicable)

Looks good!

Comments (If Applicable):

Looks good!

Please acknowledge that clicking the 'Go To Payment' button below will take you to an external payment provider, where you will process your payment for this fee.

Acknowledge