Forms

Application for Registered or Licensed Practical Nurse by Endorsement: Application for Licensure as a Registered or Licensed Practical Nurse by Endorsement (PDF format) NOTE: If your original state of licensure is Arizona, Arkansas, Colorado, Delaware, Florida, Idaho, Indiana, Iowa, Maine, Maryland, Massachusetts, Minnesota, Missouri, Montana, Nebraska, New Hampshire, New Mexico, North Carolina, North Dakota, Ohio, Oregon, South Carolina, South Dakota, Texas, Utah, Vermont, Virginia or Wisconsin, DO NOT use the form provided for verification in the downloaded packet. The instructions are on the form. NURSYS Verification Form (PDF format) Application for Registered or Licensed Practical Nurse by Examination: Application for Licensure as a Registered or Licensed Practical Nurse by Examination (PDF format) Application for Reinstatment: Application for Reinstatement (PDF format) Application for Advanced Practice Nurse: Application for Licensure as an Advanced Practice Nurse (PDF format)

Last Updated: Thursday, 01-May-2008 11:42:14 EDT