Application: DMT Examination

Complete each section and upload your documents. You pay the exam fee at the end of the application.

Legal name (must match your photo ID)(Required)

Prefix First Last Suffix

Email(Required)

Phone(Required)

Mailing address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Training site(Required)

Instructor name(Required)

Course completion date(Required)

License type(Required)

License number(Required)

Issuing state or authority(Required)

License expiration date(Required)

Proof of course completion(Required)

Accepted file types: pdf, jpg, jpeg, png, Max. file size: 10 MB.

Government-issued photo ID(Required)

Accepted file types: pdf, jpg, jpeg, png, Max. file size: 10 MB.

Copy of current license(Required)

Accepted file types: pdf, jpg, jpeg, png, Max. file size: 10 MB.

Testing accommodations requested (optional)