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Indiana Professional Licensing Agency

PLA > Professions > Indiana State Board of Health Facility Administrators > Fee Schedule Fee Schedule

HFA/RCA Application:
$100.00 application fee payable to the Professional Licensing Agency.
$50.00 Temporary permit fee, if desired.

Preceptor Certificate Application:

Provisional License:

Renewal of license:
$100.00 every two years, due by August 31 of even-numbered years.

Renewal of license that has been expired for up to three years:
$100.00 renewal fee plus $50.00 late fee

Renewal of license that has been expired for more than three years:
Please contact the board office for information. (317)234-3022 or

Please note that applications and documentation will not be returned to you. Fees are not refundable.