Wash. Admin. Code § 246-847-110
(1) To qualify for the exemption from licensure pursuant to RCW 18.59.040(5), the individual claiming the exemption shall have been actively engaged in the practice of occupational therapy within the preceding four-year period and shall in writing notify the department, at least thirty days before any occupational therapy services are performed in this state, of the following:
(c) If the exemption is claimed under RCW 18.59.040 (5)(b), the individual must submit a signed notarized statement attesting to:
[Statutory Authority: RCW 18.59.130. WSR 07-20-076, § 246-847-110, filed 10/1/07, effective 11/1/07; WSR 92-18-015 (Order 300B), § 246-847-110, filed 8/24/92, effective 9/24/92; WSR 91-11-064 (Order 171B), § 246-847-110, filed 5/16/91, effective 6/16/91; WSR 91-05-027 (Order 112B), recodified as § 246-847-110, filed 2/12/91, effective 3/15/91. Statutory Authority: RCW 18.59.130(2) and 18.59.050(1). 86-17-064 (Order PM 610), § 308-171-103, filed 8/19/86. Statutory Authority: RCW 18.59.130(2) and 18.59.040 (5)(b). WSR 86-10-004 (Order PL 588), § 308-171-103, filed 4/24/86. Statutory Authority: RCW 18.59.130(2). WSR 85-12-010 (Order PL 529), § 308-171-103, filed 5/23/85.]