Probation Forms
Quarterly DeclarationPenalty Relief
Business and Professions Code Sections 2221(b) and 2307 allow an individual whose license has been surrendered, revoked or suspended to petition the Medical Board of California for reinstatement of the license or modification of the penalty. Section 2307 also authorizes an individual whose license is on probation, due to either a disciplinary action taken by the Board or because the license was issued on probationary status, to petition the Board to modify or terminate previously imposed terms and conditions or to request that the Board terminate the probation early.
Fees for Petitions for Penalty Relief
For a disciplinary decision ordered on or after April 2, 2026, the petition for penalty relief must be submitted on the form labeled Petition for Penalty Relief — Fee Required.
Carefully review and follow the instructions on the form. Among other requirements, the petitioner must include:
- a non-refundable initial fee of $2,962 for a Petition for Reinstatement; or
- a non-refundable initial fee of $1,242 for a Petition to Terminate Probation and/or a Petition to Modify Probation.
NOTE: The remaining fee of up to $22,000, less the initial fee, to cover the reasonable costs to process and adjudicate the petition shall be proposed by an administrative law judge and approved by the Board.
For more information pertaining to fees for petitions for penalty relief, please see 16 CCR section 1352.3 and 16 CCR section 1359.
- Live Scan Form
- Live Scan Locations
- Petition for Penalty Relief — Fill-In (For decisions ordered before April 2, 2026)
- Petition for Penalty Relief — Fee Required — Fill-In (For decisions ordered on or after April 2, 2026)