Licensure Documents

Fee Schedule (Revised: 06-08-22)
Doc 1: Certified Nursing Assistant (CNA) Requirements (Revised: 06-08-22)
Doc 1A.1B.: CNA Initial Application for License. RETAKE (Revised: 06-08-22)
Doc 2: CNA Initial Application for License (Revised: 07-27-21)
Doc 3: CNA Endorsement Requirements (Revised: 07-27-21)
Doc 4: CNA Endorsement Application (Revised: 07-27-21)
Doc 5: CNA Renewal Requirements (Revised: 06-08-22)
Doc 6: CNA Reinstatement Requirements (Revised: 06-08-22)
Doc 7-8: CNA Renewal Reinstatement Application (Revised: 07-27-21)
Doc 9: CNA-CT – Continuing Education Form (Revised: 07-27-21)
Doc 10: Certified Technician (CT) Requirements (Revised: 07-27-21)
Doc 11: CT Application Form (Revised: 07-27-21)
Doc 12: CT Renewal Requirements (Revised: 06-08-22)
Doc 13: CT Reinstatement Requirements (Revised: 06-08-22)
Doc 14-15: CT Renewal Reinstatement Application (Revised: 07-27-21)
Doc 16: RN Renewal Requirements (Revised: 06-08-22)
Doc 17: RN Reinstatement Requirements (Revised: 06-08-22)
Doc 18: RN-LPN Renewal Reinstatement Application (Revised: 06-08-22)
Doc 19: RN-LPN-APRN Continuing Education Form (Revised: 07-27-21)
Doc 20-21: NCLEX Requirements for Licensure by Examination (Revised: 06-08-22, Revision 1)
Doc 22-23: NCLEX Initial Application by Examination (Revised: 06-08-22)
Doc 24: NCLEX Certification of Related Learning Experience (CRLE) (Revised: 07-27-21)
Doc 25: NCLEX RETAKE Application by Examination (Revised: 06-08-22)
Doc 26: Graduate Nurse (GN) Requirements (Revised: 07-27-21)
Doc 27: GN Permit Request (Revised: 07-27-21)
Doc 28: RN-LPN Endorsement Requirements (Revised: 07-27-21)
Doc 29-30: RN-LPN Endorsement Application (Revised: 06-08-22)
Doc 31: LPN & VN Renewal Requirements (Revised: 06-08-22)
Doc 32: LPN/VN Reinstatement Requirements (Revised: 07-27-21)
Doc 33: APRN – Initial Endorsement Requirements (Revised: 07-27-21)
Doc 34-35: APRN Initial Application (Revised: 06-08-22)
Doc 36-37: APRN Endorsement Application (Revised: 06-08-22)
Doc 38: APRN Renewal Requirements (Revised: 06-08-22)
Doc 39-40: APRN Renewal Reinstatement Application (Revised: 06-08-22)
Doc 41: APRN Reinstatement Requirements (Revised: 06-08-22)
Doc 42: NCLEX Score Transfer Requirements (Revised: 06-08-22)
Doc 43: NCLEX Score Transfer Application (Revised: 06-08-22)
Doc 44: NP Distance Learning Online Program Application (Revised: 07-27-21)
Doc 45: NP Distance Learning Program Memorandum of Understanding (Revised: 07-27-21)
Doc 46: Continuing Ed. (CE) Provider Application For Approval (Revised: 07-27-21)
Doc 47: CE Provider Information (Revised: 07-27-21)
Doc 48: Request for Name Address & Email Change (Revised: 06-08-22)
Doc 49: Request for Inactive Status (Revised: 07-27-21)
Doc 50: Verification of Employment (Revised: 07-27-21)
Doc 51: Verification of License (Revised: 07-27-21)
Doc 53: NP Online Program Proposal (Application)
Doc 54: Memorandum of Understanding