You may apply for a VCVC certificate even though your original certificate was processed through CGFNS.  You would apply using the VCVC Handbook and application.  You should not apply using the VCVC Renewal Handbook.  Since you have been certified over five years, we will not have your hard copy eligibility file.  You will need to submit all of the documents required in the VCVC Handbook.

If you took and passed the exam within the last five (5) years, there is a good chance NBCOT will still have your hard copy eligibility file and thus, your educational documents may not need to be re-submitted for VCVC application purposes. TOEFL scores expire two years from date issued.  If your English scores on file are over two (2) years old, you will be required to retake the exam for VCVC purposes. 

If you took the exam more than five (5) years ago, ALL required documentation must be re-submitted with the VCVC application.

The country in which you obtained your occupational therapy degree has no baring or impact.  The critical consideration in response to this question is country of citizenship.  If you are a citizen of a country other than the U.S., you would need to apply for and obtain a VCVC.

Once the VCVC application is approved, the certificate will be issued within 10 business days.  However, there may be times during the review process when it is determined that additional information is needed from the applicant.  The review process is then delayed until all information has been received.  In these cases, the entire VCVC process may take several weeks or months.

The Visa certificate is valid for five (5) years.  Unless the certificate holder has obtained a permanent visa or has become a U.S. citizen, the VCVC certificant must re-apply to NBCOT to obtain a renewal VCVC certificate.