License Applications for Community Health Workers

This resource page provides applications for licensure and required forms to be completed and submitted with applications, and for renewal of a license.

Community Health Workers Home

Initial License

Required documents may be found here:

Please complete the Universal Application for Initial License and submit with any required information to the Office of Professional Licensure and Certification at the following address:

Office of Professional Licensure and Certification
Attn:  Community Health Workers
7 Eagle Square
Concord, NH 03301

Renewal of License

Required documents may be found here:

Please complete the Universal Application for Initial License and submit with any required information outlined to the Office of Professional Licensure and Certification at the following address:

Office of Professional Licensure and Certification
Attn:  Community Health Workers
7 Eagle Square
Concord, NH 03301

Community Health Workers Home