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Occupational Therapist Licensure in Missouri

  • Timeline 4-6 weeks
  • Initial Costs $71
  • Renewal Costs $30
  • CE Requirements 24 Hours
  • Compact No

How to apply

To secure your Travel Occupational Therapist license in Missouri, you'll be working with the Missouri Board of Occupational Therapy. You will submit your application through the MOPRO Portal. Before you start, I recommend initiating your background check and requesting your transcripts to get the ball rolling.

Step-by-Step Guide

  1. Get Your Documents Moving: Request your official transcripts be sent directly from your university to the Board. Head over to NBCOT to transfer your scores, and if you hold licenses in other states, request verification (often through VeriDoc or the state board directly) to be sent to Missouri.
  2. The Background Check: Missouri uses the Missouri Automated Criminal History Site (MACHS) for fingerprinting, typically serviced by IdentoGO. You will need a specific 4-digit registration number found in the application instructions or the fingerprinting brochure on the Board's website to register.
  3. The Jurisprudence Exam: Missouri requires a Jurisprudence Exam. This is typically an open-book test based on the state's practice act and rules. You can download the exam PDF from the Board's website to complete it; you may need to upload it with your application or mail it in.
  4. Hit Submit: Create an account on the MOPRO portal. Complete the online application, pay the fee, and ensure all your supporting documents (like that Jurisprudence Exam) are attached or accounted for.

What You'll Need & Key Details

  • Documents to Have Ready: Driver's License, Social Security Number, and a detailed employment history for the past few years.
  • Items to Request: Official Transcripts (sent directly from the school), NBCOT Scores (sent directly from NBCOT), and Verification of Licensure from all states where you have held a license.
  • Exams: Jurisprudence Exam (Open book, covers Missouri statutes and regulations).

Here is the breakdown of what you can expect to spend to get licensed in Missouri:

  • Application Fee: $30
  • Background Check / Fingerprinting: $41 (approximate)
  • Jurisprudence Exam: $0
  • Verifications: $0
  • Total Estimated Initial Cost: $71

Note: Fees are subject to change by the Board, but this gives you a solid estimate to plan your budget!

When to Renew: Missouri Occupational Therapist renewal happens biennially (every two years) and is due by June 30 of odd-numbered years.

Cost: The renewal fee is approximately $30.

Note: Watch out—renewals postmarked after the expiration date are subject to a late penalty fee!

24 Hours required every two years.

Deadline: June 30th of odd-numbered years.

Live vs. Online: Great news for Travel Occupational Therapist CEUs: Missouri allows all 24 hours to be completed through online or home-study courses, provided they meet the board's criteria for clinical relevance.

Provider Restrictions: Missouri accepts courses from AOTA-approved providers, state associations, and regionally accredited colleges. General portals like MedBridge are accepted and commonly used by travelers to fulfill these requirements.

Mandatory Topics

  • Practice-Related Content (Minimum 16 hours): These must be directly related to the clinical practice of occupational therapy.
  • Related Areas (Maximum 8 hours): These can include professional development or topics indirectly related to OT practice.
  • Jurisprudence: No specific law or ethics exam is required for your biennial renewal.


Excluded Topics: Business management, marketing, investment, personal financial planning, and basic CPR/First Aid do not count toward the required hours.

New Licensee Rule: If you were licensed for less than 12 months of the current cycle, you only need 12 hours. If you were licensed for 12 months or more, you must complete the full 24 hours.

Reporting: Missouri uses an audit-based system. You do not need to submit certificates during renewal, but you must maintain your records for at least 4 years in case of a random board audit.

Need to reach out with questions or send in documents? Here are the direct details for the Missouri State Board of Occupational Therapy:


Ready to start? Click here to go directly to the Application Portal.

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How to Apply

To secure your Travel Occupational Therapist license in Missouri, you'll be working with the Missouri Board of Occupational Therapy. You will submit your application through the MOPRO Portal. Before you start, I recommend initiating your background check and requesting your transcripts to get the ball rolling.

Step-by-Step Guide

  1. Get Your Documents Moving: Request your official transcripts be sent directly from your university to the Board. Head over to NBCOT to transfer your scores, and if you hold licenses in other states, request verification (often through VeriDoc or the state board directly) to be sent to Missouri.
  2. The Background Check: Missouri uses the Missouri Automated Criminal History Site (MACHS) for fingerprinting, typically serviced by IdentoGO. You will need a specific 4-digit registration number found in the application instructions or the fingerprinting brochure on the Board's website to register.
  3. The Jurisprudence Exam: Missouri requires a Jurisprudence Exam. This is typically an open-book test based on the state's practice act and rules. You can download the exam PDF from the Board's website to complete it; you may need to upload it with your application or mail it in.
  4. Hit Submit: Create an account on the MOPRO portal. Complete the online application, pay the fee, and ensure all your supporting documents (like that Jurisprudence Exam) are attached or accounted for.

What You'll Need & Key Details

  • Documents to Have Ready: Driver's License, Social Security Number, and a detailed employment history for the past few years.
  • Items to Request: Official Transcripts (sent directly from the school), NBCOT Scores (sent directly from NBCOT), and Verification of Licensure from all states where you have held a license.
  • Exams: Jurisprudence Exam (Open book, covers Missouri statutes and regulations).

Here is the breakdown of what you can expect to spend to get licensed in Missouri:

  • Application Fee: $30
  • Background Check / Fingerprinting: $41 (approximate)
  • Jurisprudence Exam: $0
  • Verifications: $0
  • Total Estimated Initial Cost: $71

Note: Fees are subject to change by the Board, but this gives you a solid estimate to plan your budget!

When to Renew: Missouri Occupational Therapist renewal happens biennially (every two years) and is due by June 30 of odd-numbered years.

Cost: The renewal fee is approximately $30.

Note: Watch out—renewals postmarked after the expiration date are subject to a late penalty fee!

24 Hours required every two years.

Deadline: June 30th of odd-numbered years.

Live vs. Online: Great news for Travel Occupational Therapist CEUs: Missouri allows all 24 hours to be completed through online or home-study courses, provided they meet the board's criteria for clinical relevance.

Provider Restrictions: Missouri accepts courses from AOTA-approved providers, state associations, and regionally accredited colleges. General portals like MedBridge are accepted and commonly used by travelers to fulfill these requirements.

Mandatory Topics

  • Practice-Related Content (Minimum 16 hours): These must be directly related to the clinical practice of occupational therapy.
  • Related Areas (Maximum 8 hours): These can include professional development or topics indirectly related to OT practice.
  • Jurisprudence: No specific law or ethics exam is required for your biennial renewal.


Excluded Topics: Business management, marketing, investment, personal financial planning, and basic CPR/First Aid do not count toward the required hours.

New Licensee Rule: If you were licensed for less than 12 months of the current cycle, you only need 12 hours. If you were licensed for 12 months or more, you must complete the full 24 hours.

Reporting: Missouri uses an audit-based system. You do not need to submit certificates during renewal, but you must maintain your records for at least 4 years in case of a random board audit.

Need to reach out with questions or send in documents? Here are the direct details for the Missouri State Board of Occupational Therapy:


Ready to start? Click here to go directly to the Application Portal.

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