Verified October 8, 2026 against the practice act, board rules and sources cited below. The board decides every application. All states
What OTs miss in Delaware
- Fingerprints done for an employer or another state do not count; Delaware needs its own state and FBI check.
- An applicant who passed NBCOT more than three years before applying must show 20 CE hours from the past two years.
- Delaware offers an interstate telehealth registration for practitioners licensed elsewhere who serve Delaware patients only by telehealth.
Can I practice in Delaware on an OT Compact privilege?
Delaware has enacted the OT Compact but is not issuing privileges yet. Until it does, practicing here takes a Delaware license, and a Delaware license does not yet give you a privilege anywhere else.
- Enacted, not issuing yet
Can an OT licensed in another state get a Delaware license by endorsement?
The board grants a license by reciprocity to an OT or OTA with a current license in good standing in another state who passed the NBCOT exam. Applicants send letters of good standing from every state ever licensed and complete a Delaware and FBI fingerprint check.
- Endorsement route available
Citation: 24 Del. C. § 2011; 24 Del. Admin. Code § 2000-2.2
Which exams does Delaware require for a license?
Licensure requires a passing NBCOT score. Neither the statute nor the board's rules list a state jurisprudence exam.
- NBCOT exam
- No state jurisprudence exam
Does Delaware require fingerprints?
- Fingerprint background check
Does Delaware offer a temporary or limited OT license?
The licensing statute and board rules provide no temporary or limited permit. Out-of-state practitioners who only see Delaware patients by telehealth can instead hold an interstate telehealth registration.
- No temporary license
Citation: 24 Del. C. ch. 20, subch. II; 24 Del. Admin. Code § 2000
What OTAs need to know in Delaware
The supervising OT needs at least one year of clinical experience after permanent licensure. The OT and OTA keep a written supervisory plan reviewed at least every six months, document all supervision, and the OT gives a written performance appraisal at least yearly.
How often does a Delaware OT license renew?
All licenses expire July 31 of even-numbered years. Renewal requires 24 CE hours per two-year period, attested online and subject to random audit. First renewals are prorated by issue date.
- Renews every 2 years
- 24 CE hours per cycle
Licensing in Delaware?
For a license, we send your NBCOT score and verifications, file the application and carry the board correspondence. License by endorsement is $599 for an OT and $499 for an OTA.