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State of Idaho
Board of Nursing

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Applications & Other Forms

 The forms below are the Board approved applications for licensure. These documents are presented in Adobe PDF format and require the use of the free Adobe Acrobat Reader External Link software.  If you can not access information in PDF format for any reason, contact the Board of Nursing office (208) 577-2476.

Forms

Affidavit for Change of Name
Complaint Packet
Declaration of Primary Residence
Duplicate Renewable License Application
Bd of Pharmacy Rules for Prescriptive and Dispensing Authorization  
 

Licensure Application Materials:

Fees/Fingerprint Card

RN Licensure by Endorsement
RN Licensure by Reinstatement
RN Licensure by Examination  

LPN Licensure by Endorsement
LPN Licensure by Reinstatement
LPN Licensure by Examination

APPN & RN Initial Licensure
APPN Reinstatement of Licensure
APPN Renewal - 2011-2013
APPN Initial License - Compact RN
APPN Initial License, Idaho, RN - New APPN
APPN & RN Reinstatement
APPN Initial License Lapsed ID RN
APPN Reinstatement, RN Compact
APPN Prescriptive and Dispensing Authorization Application

 

  • RN Licensure by Endorsement
  • RN Licensure by Reinstatement
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