Licensing Forms, Applications, & Info

LPN/RN Examination

Application are revised periodically so DO NOT request an application unless you intend on completing it within a 30 day period. This will help to ensure that you have a current application to submit, and the likelihood of the application being returned to you, because it is outdated, will be greatly minimized.

•  LPN/RN Examination Application
•  Background Check & Fingerprint Info

Licensure Verification

•  License Verification Request Form

LPN/RN Re-Examination

•  LPN/RN Re-Examination Application

Renewal / Reactivation

•  LPN/RN Renewal/Reactivation Application
•  CNP/CNS/CRNA Renewal/Reactivation Application

Initial Advanced Practice Licensure

•  CNP Application
•  CNS Application
•  CRNA Application

Endorsement

•  LPN/RN Endorsement Application
•  Endorsement Request Form
•  Background Check & Fingerprint Info
•  CNP Endorsement Application
•  CNS Endorsement Application
•  CRNA Endorsement Application

Name/Address Change/Residency Change

•  Name/Address Change/Residency Change