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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

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Applications/Forms

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

Registered Nurses: 

Examination Application
(Trained in United States) (267 KB, PDF)
Examination Application
(Trained outside United States) (351 KB, PDF)
Endorsement Application (304 KB, PDF)
Expired/Inactive Re-activation (263 KB, PDF)

Practical Nurses:

Examination Application
Trained Inside the United States (273 KB, PDF)
Examination Application
(Trained outside United States) (261 KB, PDF)
Endorsement Application (537 KB, PDF)
Expired/Inactive Re-activation (263 KB, PDF)

Advanced Registered Nurses:

Endorsement/Examination Application (247 KB, PDF)
Expired/Inactive Re-activation application (250 KB, PDF)

Additional Licensing Links:

All United States Nursing Boards listed on NCSBN
(Address & telephone numbers of all state nursing boards)

Annual Report(397 KB, PDF)

Approved Nursing Schools for Washington (203 KB, PDF)

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)

Delegations Forms

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

HIV/AIDS Education Course List
(Listing of AIDS courses and contact numbers)

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.)

Non Traditional Training Preceptorship (117 KB, PDF)

NURSYS Online Verification
(license verification for participating states)

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)

Program Completion Forms:

Refresher courses (174 KB, PDF)
(Listing of all known refresher courses)

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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 : 03/15/2012 08:46 AM
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