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LicenseReciprocity

Occupational Therapy License from California to Delaware: Does It Transfer? (2026)

Last verified: 2026-09-27 · source: Delaware Board of Occupational Therapy Practice (Division of Professional Regulation) ↗

A occupational therapy license transfers from California to Delaware by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Delaware Board of Occupational Therapy Practice (Division of Professional Regulation), verify your California license, and meet Delaware's endorsement requirements. The NBCOT certification exam is not retaken. If you took the NBCOT exam after 2006 and designated Delaware to receive your scores, the Board office pulls them online. If you took it before 2007 or did not designate Delaware, you must order an official NBCOT Score Transfer. The Board does not say that NBCOT certification must be current, and no Delaware jurisprudence exam is required for licensure..

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Verdict

Licensure by endorsement

Neither California nor Delaware is issuing OT Compact privileges, so there is one route: a Delaware license by endorsement from the Delaware Board of Occupational Therapy Practice (Division of Professional Regulation). The board verifies your California license and your NBCOT exam passage; being licensed in California neither speeds nor slows Delaware's standard out-of-state review.

What changes, California → Delaware

Side-by-side: California vs Delaware (Occupational Therapy (OT/OTA)), verified 2026-09-27
California (current)Delaware (destination)
OT Compact statusLicensure by endorsementOT Compact enacted — not yet issuing
Application fee$50 ($50 application fee paid in BreEZe. A separate initial license fee, prorated by your birth date and the month of issue, is stated in the approval letter and paid after approval, so it is not in this range. + $49 fingerprint-card fee if you are not using Live Scan (Live Scan fees are paid to the vendor).)$236 (nonrefundable OT application fee paid in DELPROS (OTA $96; interstate telehealth registration $50). + fingerprinting and background-check fees paid to the vendor. NOT the OT Compact privilege fee (Commission lists Delaware's future state fee as $100 for OTs).)
Processing time3–4 weeks (the Board states 'Processing time for all applications is 3-4 weeks'; 16 CCR 4112 gives the Board 30 days to review an application and notify the applicant of any deficiency; licenses issue once the approved applicant completes the online form and pays the initial license fee)no timeframe is published; the Board reviews only complete applications and does so at its next scheduled meeting
Licensing authorityCalifornia Board of Occupational TherapyDelaware Board of Occupational Therapy Practice (Division of Professional Regulation)

The destination column is what you must satisfy — Delaware sets the rules for this move.

Step by step

  1. Confirm Delaware's current requirements on the Delaware Board of Occupational Therapy Practice (Division of Professional Regulation) website (linked below) — rules change.
  2. Submit the endorsement application to the Delaware Board of Occupational Therapy Practice (Division of Professional Regulation) (application linked below).
  3. Arrange license verification from your current state via the verification system.
  4. Hold a current OT license in another jurisdiction (apply 'by reciprocity' in DELPROS).
  5. Complete a State of Delaware and FBI fingerprint criminal background check through IdentoGO using the Board's service code; checks done for any other purpose are not accepted.
  6. Have every state or jurisdiction where you hold or ever held a license send verification directly to the Board.
  7. Order an NBCOT Score Transfer if you tested before 2007 or did not designate Delaware to receive your scores.
  8. Pay the fees ($236 (nonrefundable OT application fee paid in DELPROS (OTA $96; interstate telehealth registration $50). + fingerprinting and background-check fees paid to the vendor. NOT the OT Compact privilege fee (Commission lists Delaware's future state fee as $100 for OTs).)) and allow no timeframe is published; the Board reviews only complete applications and does so at its next scheduled meeting.

Official links

Related guides

Frequently asked questions

Can I use my California occupational therapy license in Delaware?

A occupational therapy license transfers from California to Delaware by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Delaware Board of Occupational Therapy Practice (Division of Professional Regulation), verify your California license, and meet Delaware's endorsement requirements. The NBCOT certification exam is not retaken. If you took the NBCOT exam after 2006 and designated Delaware to receive your scores, the Board office pulls them online. If you took it before 2007 or did not designate Delaware, you must order an official NBCOT Score Transfer. The Board does not say that NBCOT certification must be current, and no Delaware jurisprudence exam is required for licensure..

Do I retake the NBCOT exam moving from California to Delaware?

No. The NBCOT certification exam is not retaken. If you took the NBCOT exam after 2006 and designated Delaware to receive your scores, the Board office pulls them online. If you took it before 2007 or did not designate Delaware, you must order an official NBCOT Score Transfer. The Board does not say that NBCOT certification must be current, and no Delaware jurisprudence exam is required for licensure.

How much does a Delaware OT license cost for someone licensed in California?

$236 (nonrefundable OT application fee paid in DELPROS (OTA $96; interstate telehealth registration $50). + fingerprinting and background-check fees paid to the vendor. NOT the OT Compact privilege fee (Commission lists Delaware's future state fee as $100 for OTs).).

How long does Delaware take to process the application?

no timeframe is published; the Board reviews only complete applications and does so at its next scheduled meeting.

Can I use the OT Compact to work in Delaware?

Not for this move. Delaware has enacted the OT Compact but was not issuing privileges as of 2026-09-27. A Delaware license by endorsement is required.

Sources

Primary sources only — official boards and compact commissions. Data last verified 2026-09-27.

Reviewed by Billy Reiner, Editor · verified against primary sources 2026-09-27

How we verify · All sources · spot an error? [email protected]