Appendix 9998. FORMS (18VAC90-20)

Application for Licensure by Endorsement -- Registered Nurse (rev. 5/2011)

Instructions for Licensure by Endorsement -- Registered Nurse (rev. 5/2011)

Instructions for Licensure by Endorsement -- Licensed Practical Nurse (rev. 5/2011)

Application for Licensure by Endorsement -- Licensed Practical Nurse (rev. 6/2011)

Verification of Clinical Practice -- Licensure by Endorsement (rev. 1/2010)

Instructions and Application for Licensure by Examination for Registered Nurses (rev. 8/2011)

Instructions and Application for Licensure by Examination -- Licensed Practical Nurse (rev. 8/2011)

Instructions and Application for Licensure by Repeat Examination for Registered Nurse (rev. 8/011)

Instructions and Application for Licensure by Repeat Examination for Licensed Practical Nurse (rev. 8/2011)

Instructions and Application for Licensure by Examination for Licensed Practical Nurses Educated in Other Countries (rev. 6/2011)

Instructions and Application for Licensure by Examination for Registered Nurses Educated in Other Countries (rev. 6/2011)

Declaration of Primary State of Residency for Purposes of the Nurse Licensure Compact (rev. 6/2011)

Instructions for Application for Reinstatement -- Registered Nurse (rev. 10/2010)

Application for Reinstatement -- Registered Nurse (rev. 6/2011)

Instructions for Application for Reinstatement -- Licensed Practical Nurse (rev. 2/2010)

Application for Reinstatement of License as a Licensed Practical Nurse (rev. 6/2011)

Instructions and Application for Reinstatement of License as a Registered Nurse Following Suspension or Revocation (rev. 6/2011)

Instructions and Application for Reinstatement of License as a Licensed Practical Nurse Following Suspension or Revocation (rev. 6/2011)

License Verification Form (rev. 10/2009)

Procedure (rev. 3/10) and Application for Registration as a Clinical Nurse Specialist (rev. 6/2011)

Application for Reinstatement of Registration as a Clinical Nurse Specialist (rev. 6/2011)

Application to Establish a Nursing Education Program (rev. 6/2011)

Agenda and Survey Visit Report -- Registered Nurse Education Program (rev. 4/2008)

Agenda and Survey Visit Report -- Practical Nurse Education Program (rev. 4/2008)

NCLEX Survey Visit Report (rev. 4/2008)

Application for Registration for Volunteer Practice (rev. 7/2007)

Sponsor Certification for Volunteer Registration (rev. 8/2008)

Verification of Supervised Clinical Practice -- Registered Nurse Provisional License (eff. 8/013)

Notification of Intent to Supervise Clinical Practice -- Registered Nurse Provisional License (eff. 8/2013)

Application for Restricted Volunteer License (eff. 7/2015)