Verification of practical experience is required before sitting the exam when you’re not pursuing endorsement. The board needs solid evidence that you have actually worked in the field and can handle the hands-on responsibilities of a hearing aid dispenser. This is provided by documentation and verification of experience, such as letters from employers or supervisors, hours worked, and descriptions of the hearing aid services you performed. A health certificate doesn’t address credential verification. A recommendation letter from a supervisor, while potentially supportive, doesn’t substitute for formal verification of experience. A list of courses completed shows education but does not prove hands-on practice. So, the required submission is documentation and verification of experience.