Application Forms and Information
Certified Registered Nurse Practitioner and Prescriptive Authority
Certified Registered Nurse Practitioner - The Bureau of Professional and Occupational Affairs offers prospective licensees the opportunity to apply for initial licensure online via our secure PALS website. Apply Online
User Guide for Certified Registered Nurse Practitioner (CRNP) Prescriptive Authority Collaborative Agreement Application
User Guide for Certified Registered Nurse Practitioner (CRNP) Prescriptive Authority Collaborative Agreement Change Application
CRNP Verification of Education Forms:
New Graduates
The Bureau of Professional and Occupational Affairs offers prospective licensees the opportunity to apply for initial licensure online via our secure PALS website. Apply Online
Endorsement
(Individuals holding a nursing license in another state, jurisdiction or country)
The Bureau of Professional and Occupational Affairs offers prospective licensees the opportunity to apply for initial licensure online via our secure PALS website. Apply Online
Social Security Waiver
The Verification of Licensure form for RN and PN endorsement applicants will no longer be accepted beginning December 15, 2023. Forms must be postmarked on or before 12/14/2023 to be considered. If your state(s) participates in NURSYS, pay the fee at www.nursys.com to permit the Board to access your verification of licensure. Verifications do not need to be submitted from other countries if they were included with the report from the Board-approved Foreign Credentials Evaluator but are still needed from other states.
Clinical Nurse Specialist
The Bureau of Professional and Occupational Affairs offers prospective licensees the opportunity to apply for initial licensure online via our secure PALS website. Apply Online
Licensed Dietitian-Nutritionist
The Bureau of Professional and Occupational Affairs offers prospective licensees the opportunity to apply for initial licensure online via our secure PALS website. Apply Online
Volunteer Licenses