Florida Regulations 61-35.025: Board of Veterinary Medicine Departmental Forms
Current as of: 2024 | Check for updates
|
Other versions
The following Veterinary Medicine forms can be obtained at www.myfloridalicense.com/dbpr/ or by contacting the Department of Business and Professional Regulation, 2601 Blair Stone Road, Tallahassee, FL 32399-0790, (850)487-1395:
(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 October 2022, adopted and incorporated by reference at: http://www.flrules.org/Gateway/reference.asp?No=Ref-14969.
(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: http://www.flrules.org/Gateway/reference.asp?No=Ref-12382.
(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: http://www.flrules.org/Gateway/reference.asp?No=Ref-12383.
(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: http://www.flrules.org/Gateway/reference.asp?No=Ref-12384.
(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: http://www.flrules.org/Gateway/reference.asp?No=Ref-12385.
(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: http://www.flrules.org/Gateway/reference.asp?No=Ref-12386.
(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: http://www.flrules.org/Gateway/reference.asp?No=Ref-12387.
(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: http://www.flrules.org/Gateway/reference.asp?No=Ref-12388.
(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: http://www.flrules.org/Gateway/reference.asp?No=Ref-12389.
(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: http://www.flrules.org/Gateway/reference.asp?No=Ref-12390.
(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: http://www.flrules.org/Gateway/reference.asp?No=Ref-15990.
(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: http://www.flrules.org/Gateway/reference.asp?No=Ref-12392.
(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: http://www.flrules.org/Gateway/reference.asp?No=Ref-12393.
(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: http://www.flrules.org/Gateway/reference.asp?No=Ref-12394.
Rulemaking Authority 455.203, 455.213, 455.2179, 455.271 FS. Law Implemented 455.2179, 455.271, 474.206, 474.2125, 474.215, 474.217, 559.79 FS. History—New 12-7-20, Amended 8-11-21, 1-31-23, 12-5-23.
(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: http://www.flrules.org/Gateway/reference.asp?No=Ref-12382.
(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: http://www.flrules.org/Gateway/reference.asp?No=Ref-12383.
(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: http://www.flrules.org/Gateway/reference.asp?No=Ref-12384.
(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: http://www.flrules.org/Gateway/reference.asp?No=Ref-12385.
(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: http://www.flrules.org/Gateway/reference.asp?No=Ref-12386.
(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: http://www.flrules.org/Gateway/reference.asp?No=Ref-12387.
(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: http://www.flrules.org/Gateway/reference.asp?No=Ref-12388.
(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: http://www.flrules.org/Gateway/reference.asp?No=Ref-12389.
(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: http://www.flrules.org/Gateway/reference.asp?No=Ref-12390.
(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: http://www.flrules.org/Gateway/reference.asp?No=Ref-15990.
(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: http://www.flrules.org/Gateway/reference.asp?No=Ref-12392.
(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: http://www.flrules.org/Gateway/reference.asp?No=Ref-12393.
(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: http://www.flrules.org/Gateway/reference.asp?No=Ref-12394.
Rulemaking Authority 455.203, 455.213, 455.2179, 455.271 FS. Law Implemented 455.2179, 455.271, 474.206, 474.2125, 474.215, 474.217, 559.79 FS. History—New 12-7-20, Amended 8-11-21, 1-31-23, 12-5-23.