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Access Washington Logo linking to Access Washington

www.doh.wa.gov

a healthy dose of
information

 

License Renewals

Licensing A−Z

Provider/Facility Search

File a Complaint

Contact Us


Applications/Forms

The following forms are required for completing the application process. (please download and print forms)

Registered Nurses: 

Registered Nurse License By Examination (Trained in United States)

Application Packet (313 KB, PDF)
AIDS education course list
RN Program Completion (167 KB, PDF)

Registered Nurse License By Examination (Trained outside United States)

Application Packet (351 KB, PDF)
AIDS education course list
Certification of Nursing Education outside USA (179 KB, PDF)
Verification of Licensure from country outside USA (198 KB, PDF)
Verification of U.S. Licensure (183 KB, PDF)

Registered Nurse License By Endorsement

Application Packet (319 KB, PDF)
NURSYS online verification (license verification for certain states)
AIDS education course list
Verification of Licensure (183 KB, PDF)

Expired Registered Nurse Activation Packet

Application Packet (356 KB, PDF)

Practical Nurses:

Practical Nurse License By Examination (Trained inside United States)

Application Packet (333 KB, PDF)
NURSYS online verification
(license verification for certain states)
AIDS education course list
LPN Program Completion (143 KB, PDF)

Practical Nurse License By Examination (Trained outside United States)

Application Packet (279 KB, PDF)
AIDS education course list
Statement of eligibility (251 KB, PDF)

Practical Nurse License By Endorsement

Application Packet (537 KB, PDF)
NURSYS online verification (license verification for certain states)
AIDS education course list 
Verification of Licensure (183 KB, PDF)

Expired Licensed Practical Nurse Activation Package

Application Packet (356 KB, PDF)

Advanced Registered Nurses: 

Advanced Registered Nurse Practitioner License

Application Packet (Includes prescriptive authority) (340 KB, PDF)

Expired ARNP Activation Packet (346 KB, PDF)

ARNP Supervised Practice Application Packet (37 KB, PDF)

Miscellaneous Forms:

AIDS Form
(Listing of AIDS courses and contact numbers)

State Nursing Boards
(Address & telephone numbers of all state nursing boards)

Refresher courses (25 KB, PDF)
(Listing of all known refresher courses)

Faculty Waiver Request Form (253 KB, PDF)
(Request for commission approval of exception to faculty criteria)

License Verification Form (183 KB, PDF)
(Washington State license verification form.  This form can be used if you wish to be licensed in Washington.  It needs to be completed by your original nursing board.) 

ARNP Continuing Education & Practice Attestation (29 KB, PDF)
(Attestation form for continuing education and practice hours to accompany biennial renewals.)

ARNP Supervised Practice Application Packet (37 KB, PDF)

Approved Nursing Schools for Washington (203 KB, PDF)

Nursing Delegations Forms (http://www.aasa.dshs.wa.gov/professional/ND/TOC.htm)

Non Traditional Training Preceptorship (117 KB, PDF)

Nursing Annual Report (397 KB, PDF)

Nursing Program Pass Rates (81 KB, PDF)

Personal Vocational Relationship class for LPNs  (13 KB, PDF)
(A class required for LPNs to qualify for the national license examination if coming in from another state)

If you are having problems viewing the download(s).  You will need to download the latest version of the free Adobe Acrobat Reader (.PDF). 

adobe reader link 

 


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Washington State Department of Health
Nursing Care Quality Assurance Commission
310 Israel Rd SE, P.O. Box 47864
Olympia, Washington, 98504-7864

Last Update : 11/04/2009 08:26 AM
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