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Lapsed Certification

Has Your Certification Expired?

If you did not renew your certification within your renewal year, you will need to apply for reinstatement and be approved before you can use the OTR or COTA credential. The length of time your certification has been expired will determine the type of reinstatement application you must submit. To access the reinstatement application, log into your MyNBCOT account and click on Reinstate.

Expired Within the Last Three Years

  • Attain at least 30 units within the last three years from any category listed under the Professional Development Activities section of the NBCOT Certification Renewal Activities Chart.
  • Complete the General Practice Self-Assessment and print off the score report page.
  • Mail the completed Reinstatement of Certification Renewal Application and reinstatement chart, the Self-Assessment score page, copies of verification documentation that support the activities listed on the chart, and the fee of $125 USD to:
    NBCOT Certification Renewal
    One Bank Street, Suite 300
    Gaithersburg, MD 20878
  • After the application, documentation, and payment have been received, NBCOT will grant access to the NBCOT Navigator®.
  • Complete six competency assessment units (CAUs) through Navigator.
  • Once the six CAUs have been completed, the application will be reviewed.

Expired for More Than Three Years

  • Attain at least 12 units from categories 19, 20, and/or 22 on the Certification Renewal Activities Chart.
  • Attain at least 12 units from any of the categories listed under the Professional Development Activities section on the Certification Renewal Activities Chart.
  • Mail the completed Reinstatement of Certification Renewal Application and reinstatement chart, copies of verification documentation that support the activities listed on the chart, and the fee of $175 USD to:
    NBCOT Certification Renewal
    One Bank Street, Suite 300
    Gaithersburg, MD 20878
  • After the application, documentation, and payment have been received, NBCOT will grant access to the NBCOT Navigator®.
  • Complete 12 competency assessment units (CAUs) through Navigator.
  • Once the 12 CAUs have been completed, the application will be reviewed.

Important Information for Expired Individuals

Beginning January 1, 2027, any individual who has allowed their certification to lapse for 9+ years must submit a completed application and fee of $515 USD, undergo a background check, and pass the current entry-level NBCOT certification exam.