Apply by mail

Back to apply or renew 

Paper mail-in applications are reserved for applicants who do not have access to any internet resources.
Apply online  
 
Important information 
  • It will take approximately 6-8 weeks to process your mailed application.
  • All correspondence with the registry will take place by mail. This means it may take 6-8 weeks to receive a response each time you contact the registry.
  • Your physician must submit your certification online and provide you with a printed copy for your records. Paper physician certifications will not be accepted after August 1, 2017.
  • If you have a caregiver they must be registered in the online system and provide you with their caregiver ID to enter on your application.
Application materials
Complete and send the following documents through certified mail
Help with your application