COTA Exam Registration and Cost

You need an entry-level degree from an ACOTE-accredited occupational therapy assistant program. NBCOT limits COTA eligibility to graduates of accredited U.S. OTA programs.

First-time applicants answer eight character questions and undergo a background check. If you answer yes to a character question, you must submit supporting documents.

Your final transcript must show the awarded degree title and conferral date. It must also include your name, SSN or student ID, institution, courses, major, and registrar authentication.

Your school must mail paper transcripts or send electronic transcripts through a secure, verifiable service. If you qualify, your program can use the Degree Verification Form (DVF) before your final transcript is available. NBCOT holds DVF results until it receives the final transcript.

7. Read the Certification Exam Handbook.

8. Create a MyNBCOT account.

9. Complete the COTA exam application.

10. Pay the application fee.

11. Ask your school to send your final transcript or the permitted DVF.

12. Monitor your application status in MyNBCOT.

Submit your application before your school sends documents. Transcript review can take up to 10 business days. Allow more time during busy periods.

NBCOT issues your ATT within three business days after approval. Your application is valid for 90 days, and your ATT is valid for 90 days. Check both dates before you schedule.

After you receive your ATT, use MyNBCOT to reach Pearson VUE scheduling. Follow the instructions in your ATT to select an available COTA exam appointment.

If your application remains active, you can request an ATT reissue for another 90 days. Cancel existing appointments before requesting reissue. If your application expires, you must apply again and pay the fee.

All fees below are in U.S. dollars.

Change or cancel through Pearson VUE in MyNBCOT at least 48 hours before your appointment. After a late change or no-show, you must obtain an ATT reissue after the appointment date. The reissue fee is $115.

If you withdraw, request a partial refund by email. Approved refunds have a $40 processing fee; reapply at least three months after your refund request.

Read NBCOT's Testing Accommodations Handbook before applying. Check the preapproved comfort-aid list. Submit your accommodation request and supporting documents within your COTA exam application.

A qualified healthcare professional must document your diagnosis, functional limitations, and their effect on testing. The documents must explain each recommended accommodation. Documentation normally must be within seven years.

Initial review is within 10 business days of submission or your latest request update, whichever is later. Busy periods can take longer. After approval, accept the Approval Notice and follow its scheduling instructions.

You can request extended time or approved breaks with specific durations.