Occupational Therapy License from California to Hawaii: Does It Transfer? (2026)
Last verified: 2026-09-27 · source: Hawaii Occupational Therapy Program (DCCA, Professional and Vocational Licensing Division) ↗
A occupational therapy license transfers from California to Hawaii by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Hawaii Occupational Therapy Program (DCCA, Professional and Vocational Licensing Division), verify your California license, and meet Hawaii's endorsement requirements. The NBCOT certification exam is not retaken. Hawaii requires an original Verification of Certification ordered through MyNBCOT and sent directly to the Hawaii Occupational Therapy Program; an electronic NBCOT verification is acceptable, but a copy of the certificate or pocket card is not. The form ties licensure to 'NBCOT certification requirements' but does not say whether a lapsed certification is accepted. No Hawaii jurisprudence exam is required..
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Verdict
Licensure by endorsement
Neither California nor Hawaii is issuing OT Compact privileges, so there is one route: a Hawaii license by endorsement from the Hawaii Occupational Therapy Program (DCCA, Professional and Vocational Licensing Division). The board verifies your California license and your NBCOT exam passage; being licensed in California neither speeds nor slows Hawaii's standard out-of-state review.
What changes, California → Hawaii
| California (current) | Hawaii (destination) | |
|---|---|---|
| OT Compact status | Licensure by endorsement | Licensure by endorsement |
| 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).) | $186–$279 ($186 if the license issues in an EVEN-numbered year ($50 nonrefundable application + $86 license + $50 Compliance Resolution Fund) or $279 if it issues in an ODD-numbered year ($50 + $86 + $100 CRF + $43 half renewal), payable to Commerce & Consumer Affairs (form OC-01, rev. 10/24)) |
| Processing time | 3–4 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) | the Professional and Vocational Licensing Division publishes no OT processing timeframe on the form or program page reviewed |
| Licensing authority | California Board of Occupational Therapy | Hawaii Occupational Therapy Program (DCCA, Professional and Vocational Licensing Division) |
The destination column is what you must satisfy — Hawaii sets the rules for this move.
Step by step
- Confirm Hawaii's current requirements on the Hawaii Occupational Therapy Program (DCCA, Professional and Vocational Licensing Division) website (linked below) — rules change.
- Submit the endorsement application to the Hawaii Occupational Therapy Program (DCCA, Professional and Vocational Licensing Division) (application linked below).
- Arrange license verification from your current state via the verification system.
- Have NBCOT send an original (or electronic) Verification of Certification directly to the Hawaii OT Program.
- Be at least 18 and a U.S. citizen, U.S. national, or alien authorized to work in the United States.
- Provide your Social Security Number (required for the license to issue).
- For any 'yes' answer on complaints, unlicensed activity, discipline or convictions, submit the required statements and documents with the application.
- Pay the fees ($186–$279 ($186 if the license issues in an EVEN-numbered year ($50 nonrefundable application + $86 license + $50 Compliance Resolution Fund) or $279 if it issues in an ODD-numbered year ($50 + $86 + $100 CRF + $43 half renewal), payable to Commerce & Consumer Affairs (form OC-01, rev. 10/24))) and allow the Professional and Vocational Licensing Division publishes no OT processing timeframe on the form or program page reviewed.
Official links
Related guides
Frequently asked questions
Can I use my California occupational therapy license in Hawaii?
A occupational therapy license transfers from California to Hawaii by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Hawaii Occupational Therapy Program (DCCA, Professional and Vocational Licensing Division), verify your California license, and meet Hawaii's endorsement requirements. The NBCOT certification exam is not retaken. Hawaii requires an original Verification of Certification ordered through MyNBCOT and sent directly to the Hawaii Occupational Therapy Program; an electronic NBCOT verification is acceptable, but a copy of the certificate or pocket card is not. The form ties licensure to 'NBCOT certification requirements' but does not say whether a lapsed certification is accepted. No Hawaii jurisprudence exam is required..
Do I retake the NBCOT exam moving from California to Hawaii?
No. The NBCOT certification exam is not retaken. Hawaii requires an original Verification of Certification ordered through MyNBCOT and sent directly to the Hawaii Occupational Therapy Program; an electronic NBCOT verification is acceptable, but a copy of the certificate or pocket card is not. The form ties licensure to 'NBCOT certification requirements' but does not say whether a lapsed certification is accepted. No Hawaii jurisprudence exam is required.
How much does a Hawaii OT license cost for someone licensed in California?
$186–$279 ($186 if the license issues in an EVEN-numbered year ($50 nonrefundable application + $86 license + $50 Compliance Resolution Fund) or $279 if it issues in an ODD-numbered year ($50 + $86 + $100 CRF + $43 half renewal), payable to Commerce & Consumer Affairs (form OC-01, rev. 10/24)).
How long does Hawaii take to process the application?
the Professional and Vocational Licensing Division publishes no OT processing timeframe on the form or program page reviewed.
Can I use the OT Compact to work in Hawaii?
Not for this move. Hawaii has not enacted the OT Compact. A Hawaii license by endorsement is required.
Sources
Primary sources only — official boards and compact commissions. Data last verified 2026-09-27.
- Hawaii DCCA PVL, Occupational Therapy Program page ↗ (accessed 2026-09-27)
- Hawaii DCCA PVL, Occupational Therapist license information, requirements and instructions (OC-01, rev. 10/24) ↗ (accessed 2026-09-27)
- Hawaii DCCA PVL, OT Application Forms, Requirements, Fees and Instructions ↗ (accessed 2026-09-27)
- California Board of OT, Application page (Internet Archive copy of 2026-01-22; bot.ca.gov refused connections from this environment on 2026-09-27) ↗ (accessed 2026-09-27)
- California Board of OT, Applicants FAQ (Internet Archive copy of 2026-01-22) ↗ (accessed 2026-09-27)
- California Board of OT, Initial License/Limited Permit Application Requirements checklist (Internet Archive copy of 2026-01-22) ↗ (accessed 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]