License Application
FORMS:
All applicants must complete and submit an application with the required documentation and appropriate fees.
You may download Applications and Forms for this Board from the links provided below or they may be obtained by contacting the office at mid@dopl.idaho.gov.
Inquiry on Impact of Conviction Form Updated
Criminal Conviction Disclosure Form
If you have questions, please contact the Division at (208) 334-3233 or mid@dopl.idaho.gov.
License Renewal
ONLINE LICENSE RENEWAL
Please complete your renewal application and payment of fees through the ONLINE renewal system. There are no additional fees for this service. Documents may be uploaded when you renew.
The following documents are required to be submitted to the Board to complete your renewal:
- Proof of current CPM
- Proof of current CPR
- Proof of current NRP
- Proof of meeting the continuing education requirement
- Birth Statistics Form – For the previous calendar year
- Peer Review Form
For your license to remain valid, it must be renewed before the expiration date each year. Remember that you must have an active license to practice in the state of Idaho.
As a courtesy, license renewal reminders are mailed to your mailing address of record approximately six (6) weeks before the license expiration date. If you do not receive a renewal notice, you can still renew online and update your address if needed. You are responsible to timely renew your license whether you receive a renewal notice or not.
Please note: If you fail to renew your license before its expiration date a reinstatement fee will be required by Idaho Code 67-2614 and cannot be waived. In addition, you may be required to submit continuing education or other required documentation prior to the reinstatement of your license.
If you have questions, please contact renewal@dopl.idaho.gov or 208-334-3233.
EXPIRED LICENSE
Q: I have let my license lapse, what must I do to activate that license?
A: A license that has been lapsed less than five years may be reinstated upon submission of a renewal application together with the payment of renewal fees, a license re-instatement fee, and proof of completion of continuing education as required in the rules. If a license has lapsed for more than five years, a new application for licensure is required.
Fees
LICENSED MIDWIFE
APPLICATION FEE 200.00
ORIGINAL LICENSE FEE 800.00
LICENSE RENEWAL 850.00
REINSTATEMENT PENALTY 50.00
MIDWIFERY APPLICATION
APPLICATION FEE 200.00
ORIGINAL LICENSE FEE 800.00
LICENSE RENEWAL 850.00
LICENSE RENEWAL 50.00
LICENSED MIDWIFE – GRANDMOTHER
APPLICATION FEE 200.00
ORIGINAL LICENSE FEE 800.00
LICENSE RENEWAL 850.00
REINSTATEMENT PENALTY 50.00
OTHER FEES
DUPLICATE LICENSE FEE 10.00