Read the instructions carefully before completing the application. Incomplete applications will be returned, delaying licensure. Any omission, inaccuracy or failure to make full disclosure in an application or supporting documentation may be deemed sufficient reason to deny a license, or, if a license is issued could result in the suspension or revocation of a license.
For license, fee and term schedule of the New York State Athletic Commission, please click here.
Attach the following documentation to your application. The following medical test results with test dates are required:
[ ] Physician signed health history and physical exam record - Dated within 1 year
[ ] Brain MRI (Magnetic Resonance Image) – Dated within 3 years
[ ] 12 Lead EKG - Dated within 1 year
[ ] Dilated eye exam by licensed ophthalmologist - Dated within 1 year
[ ] Hepatitis B Surface Antigen - Dated within 1 year
[ ] Hepatitis C Antibody - Dated within 1 year
[ ] HIV - Dated within 1 year
[ ] CBC with Platelet Count – Dated within 1 year
[ ] Pregnancy test for females - Dated within 30 days of each event
What documentation proves my readiness to fight professionally?
[ ] Copy of Boxer Federal ID or MMA National ID Card
[ ] Copy of an unexpired government issued photo ID
[ ] Documentation proving your readiness to fight professionally (Copy of Amateur Book, Fight Fax, BoxRec, MixedMartialArts.com, FightRecord, letter from trainer, video footage, letter from amateur sanctioning organization, etc.) – NOT REQUIRED FOR RENEWAL
[ ] Documentation supporting your “YES” response(s) to the questions in the “Background Information” section of this application
[ ] $10.00 Boxer License application fee (paid by check or money order)
[ ] $50.00 Mixed Martial Artist License application fee (paid by check or money order)