Request for License and/or Certificate

The information and evidence you are asked to provide the NMI BOARD OF NURSING will update your record and issue replacement documents when appropriate.  You are legally required to submit true and complete information.  Nurses are required to comply with the Board’s statutes and rules that govern the practice of nursing in the Northern Mariana Islands.  The Board mails information to you at the address in your record.  Therefore, it is important that you notify the Board of a name, address and email change as soon as possible after the change.  However, failure to receive information from the Board about the laws and rules that apply to you does not relieve you of the responsibility to comply with these laws and rules.

  • License Card only: Submit this completed form along with the non-refundable fee of $50 for NMI-126: Issuance of License (ID card) : $50.00. Please indicate your license number which can be found online at nursys.com. 
  • Certificate only: Submit this completed form along with the non-refundable fee of $35 for NMI-127: Issuance of Certificate : $35.00. Please indicate your license number which can be found online at nursys.com. 
    Certificates are applicable only to those who initially passed the NCLEX under the NMI BON. Certificates are not issued to endorsed license.
  • License & Certificate: Submit this completed form along with the non-refundable fee of $85 for NMI-126: Issuance of License (ID card) : $50.00 and NMI-127: Issuance of Certificate : $35.00. Please indicate your license number which can be found online at nursys.com. 

Accepted Modes of Payments are: Online Payment through the Payment Portal for the following payment items:

  • NMI-126: Issuance of License (ID card) : $50.00
  • NMI-127: Issuance of Certificate : $35.00

Address Change:  Submit this completed form. 

To ensure tracking with your license, you have the option to include a courier fee. 

Courier fees are as follows:

  1. International: $50
  2. Canada: $30
  3. USA: $27

*Paying for courier fee does not mean an expedite process.  This is for parcel tracking purposes only.

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Thank you for your submission. This will confirm receipt of your Request for License and/or Certificate. Due to high volume of correspondence, kindly allow our office to respond to you in a timely manner. Thank you for your patience.

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For the purpose of identification, please provide the following information:

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License Type(required)

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