Florida Administrative Code › 61 - DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION › 61 - Departmental › Chapter 61-35 - DEPARTMENTAL FORMS › Section 61-35.025 - Board of Veterinary Medicine Departmental Forms

Current through Reg. 50, No. 138; July 16, 2024
The following Veterinary Medicine forms can be obtained at
www.myfloridalicense.com/dbpr/
or
				  by contacting the Department of Business and Professional Regulation, 2601
				  Blair Stone Road, Tallahassee, FL 32399-0790, (850)487-1395:
(1) Any person desiring to apply for an
				examination or re-examination and licensure, shall submit a completed Form DBPR
				VM 1, Application for Licensure: Examination or Re-Examination, effective
				October 2022, adopted and incorporated by reference at:
http://www.flrules.org/Gateway/reference.asp?No=Ref-14969
.
(2) Any person desiring to apply for
				registration of a Veterinary Premise, shall submit a completed Form DBPR VM 2,
				Application for registration of a Veterinary Premise, effective November 2020,
				adopted and incorporated by reference at:
http://www.flrules.org/Gateway/reference.asp?No=Ref-12382
.
(3) Any person desiring to apply for
				licensure of a Limited-Service Veterinary Medical Practice Permit, shall submit
				a completed Form DBPR VM 3, Application for Licensure: Limited-Service
				Veterinary Medical Practice Permit, effective November 2020, adopted and
				incorporated by reference at:
http://www.flrules.org/Gateway/reference.asp?No=Ref-12383
.
(4) Any person desiring to apply for a
				Limited-Service Veterinary Medical Practice Clinic Registration, shall submit a
				completed Form DBPR VM 4, Application for Licensure: Limited-Service Veterinary
				Medical Practice Clinic Registration, effective November 2020, adopted and
				incorporated by reference at:
http://www.flrules.org/Gateway/reference.asp?No=Ref-12384
.
(5) Any person desiring to apply for a
				Limited-Service Veterinary Medical Practice Clinic Updates, shall submit a
				completed Form DBPR VM 5, Application for Limited-Service Veterinary Medical
				Practice Clinic Updates, effective November 2020, adopted and incorporated by
				reference at:
http://www.flrules.org/Gateway/reference.asp?No=Ref-12385
.
(6) Any person desiring to reinstate a null
				and void license, shall submit a completed Form DBPR VM 6, Application for
				Individual Licensure: Reinstate Null and Void License, effective November 2020,
				adopted and incorporated by reference at:
http://www.flrules.org/Gateway/reference.asp?No=Ref-12386
.
(7) Any person or organization desiring
				continuing education provider approval, shall submit a completed Form DBPR VM
				7, Continuing Education Provider Application, effective November 2020, adopted
				and incorporated by reference at:
http://www.flrules.org/Gateway/reference.asp?No=Ref-12387
.
(8) Any person or organization desiring
				continuing education course approval, shall submit a completed Form DBPR VM8,
				Course Approval Application, effective November 2020, adopted and incorporated
				by reference at:
http://www.flrules.org/Gateway/reference.asp?No=Ref-12388
.
(9) Any person requesting to change their
				address or personal name, shall submit a completed Form DBPR VM9, Request for
				Address or Name Change, effective November 2020, adopted and incorporated by
				reference at:
http://www.flrules.org/Gateway/reference.asp?No=Ref-12389
.
(10) Any person desiring to apply for
				licensure, shall submit a completed Form DBPR VM10, Authorization for
				Interstate Exchange of Examination and Licensure Information, effective
				November 2020, adopted and incorporated by reference at:
http://www.flrules.org/Gateway/reference.asp?No=Ref-12390
.
(11) Any person applying to change the status
				of their license, shall submit a completed Form DBPR VM11, Change of Status
				Application, effective May 2023, adopted and incorporated by reference at:
http://www.flrules.org/Gateway/reference.asp?No=Ref-15990
.
(12) Any person applying to update the
				premise/clinic name information, shall submit a completed Form DBPR VM12,
				Veterinary Premise/Clinic Name Change Application, effective November 2020,
				adopted and incorporated by reference at:
http://www.flrules.org/Gateway/reference.asp?No=Ref-12392
.
(13) Any premise/clinic applying to update
				the responsible veterinarian for that veterinary premise/clinic, shall submit a
				completed Form DBPR VM13, Change of Responsible Veterinarian Application,
				effective November 2020, adopted and incorporated by reference at:
http://www.flrules.org/Gateway/reference.asp?No=Ref-12393
.
(14) Any person applying for issuance of a
				temporary license as a veterinarian, shall submit a completed Form DBPR VM14,
				Application for Veterinarian Temporary License, effective November 2020,
				adopted and incorporated by reference at:
http://www.flrules.org/Gateway/reference.asp?No=Ref-12394
.
Rulemaking Authority
					 455.203,
					 455.213,
					 455.2179,
					 455.271 FS. Law Implemented
					 455.2179,
					 455.271,
					 474.206,
					 474.2125,
					 474.215,
					 474.217,
					 559.79
					 FS.
New 12-7-20, Amended 8-11-21, 1-31-23,
					 12-5-23.