(Send only one form if your initial license is still current.) Verification of licensure sent directly from (or made available via the National Council of State Boards of Nursing (NCSBN) online verification system at ): 1) the state or Canadian province where you received initial licensure and 2) from a state or Canadian province where you hold a current license. National Criminal History Record Checks For Employment, Licensing, and Other Noncriminal Justice Purposes.Ĥ. The completed fingerprint card will be used to check the criminal history records of the State of Alaska and the FBI per A.S. One properly completed fingerprint card on a card supplied or approved by the Alaska Board of Nursing (Form FD-258). Fees: $50.00 nonrefundable application fee, $165.00 license fee, $60.00 fingerprint processing fee and $50.00 temporary permit fee (if permit requested).ģ. Check or money order for $275.00 (or $325.00 to include a temporary permit) made payable to the State of Alaska. A completed application must include an original, passport type photograph, approximately two inches by two inches of the face and shoulders on photography paper, taken within the six months immediately preceding the date of application.Ģ. A completed signed and notarized application. With compact you should only have to show your compact status by NURSYS and then apply for APRN/CRNA status.Īlaska RN- directly copied from BON websiteġ. **Allowing nurses to practice who hold active, unencumbered, multi-state licenses issued by Nurse Licensure Compact member statesArizona, Arkansas, Delaware, Florida, Georgia, Idaho, Iowa, Kentucky, Maine, Maryland, Mississippi, Missouri, Montana, Nebraska, New Hampshire, North Carolina, North Dakota, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia and Wyoming. *Has enacted Nurse Licensure Compact, but is still waiting to complete implementation. Virginia - West Virginia - Wisconsin - Wyoming Oklahoma - Pennsylvania* - South Carolina - South Dakota - Tennessee - Texas - Utah - Vermont Nebraska - New Hampshire - New Jersey - New Mexico - North Carolina - North Dakota - Ohio Iowa - Kansas - Kentucky - Louisiana - Maine - Maryland - Mississippi - Missouri - Montana Endorsement Application States Participating in NURSYSĪlabama - Arizona - Arkansas - Colorado - Delaware - Florida - Georgia - Idaho - Indiana
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