Applicants for renewal of a license shall submit an Affirmation of Eligibility for License Renewal form number BPR-LIC-001, incorporated herein by reference and effective November 2021. The form will vary depending upon each profession and license type. The form can be obtained at HYPERLINK "https://www.flrules.org/Gateway/reference.asp?No=Ref-13917" https://www.flrules.org/Gateway/reference.asp?No=Ref-13917 or by writing the Department of Business and Professional Regulation, 2601 Blair Stone Road, Tallahassee, Florida 32399.

Every applicant who renews a license acknowledges:

1. (1) Completion of all requirements for license renewal as set forth by the Department of Business and Professional Regulation or the professional regulatory board of the profession for which the applicant is seeking license renewal, and
2. (2) That during the upcoming licensure period the applicant may be required to produce proof, as prescribed by the Rule 61-6.010, F.A.C., that all license renewal requirements for that licensure period were met, and
3. (3) That failure to comply with license renewal requirements, or making a false statement as to such compliance, will subject the applicant to disciplinary action or criminal prosecution.

Rulemaking Authority 20.165(8), 455.203(5), 559.79 FS. Law Implemented 20.165(8), 455.203, 455.2035, 455.273 FS. History–New 2-15-93, Formerly 21-6.019, 7-15-96, Amended 1-9-22.