Board Of Registered Nursing Live Scan Form - There requirement Method 1 are two 2 methods available for completing the fingerprint Method 2 Live Scan Application Process OR Fingerprint Card Hard Card Application Process The fees payable to the Board of Registered Nursing depend on which fingerprint process you select SUBMIT TOTAL APPLICABLE PAYMENT TO THE BOARD ONLINE VIA BREEZE
The Board of Registered Nursing highly recommends that applicants apply online If you have previously submitted a paper application do not submit an electronic version as that could slow down the process NOTE The application packet does not include a Live Scan form or Hard Card Please refer to Fingerprint Information to request these
Board Of Registered Nursing Live Scan Form
Board Of Registered Nursing Live Scan Form
Method 1 - CALIFORNIA GRADUATE Method 1 is for applicants who completed a nursing program at a Board-approved California school. For a list of Board-approved California RN programs, please visit our website at rn.ca.gov APPLICATION: INTERIM PERMIT (OPTIONAL): FINGERPRINT CARD (IF OUT OF STATE): $300.00 $100.00 $49.00
Applicant Information ZIP Code Contact Telephone Number Last Name First Name Middle Initial Other Name AKA or Alias Last Date of Birth Height Weight Place of Birth State or Country Sex Male Eye Color Female Hair Color Social Security Number Home Address Street Address or P O Box First Driver s License Number Billing Number Misc Number
Licensure By Endorsement California Board Of Registered Nursing
How do I complete the fingerprint requirement Live Scan process only Live Scan form is attached Visit ag ca gov fingerprints publications contact htm to locate Live Scan sites Most local law enforcement offices in California have Live Scan equipment
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The Live Scan form will be distributed as follows The Live Scan technician will keep the original copy and provide the applicant with two 2 copies Applicants must submit one 1 copy of the form with their initial application to the Board to document the scanning of their fingerprints and keep one 1 copy of the form for their records
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PLEASE NOTE The Applicant Live Scan Fingerprint Forms will need to be submitted with each qualifying method Method 1 Graduates of California Approved Schools of Vocational Nursing In California Instructions are on file with each school Applications must be submitted by the Director of your Nursing Program
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Home Address Street Address or P O Box First Name Driver s License Number Agency Billing Number Billing Number Misc Number Other Identification Number City State Suffix Suffix ZIP Code II have received and read the included Privacy Notice Privacy Act Statement and Applicant s Privacy Rights Applicant Signature Date Your Number
The California Board of Registered Nursing (BRN) Application Process for an NCLEX-RN Test and RN Licensure in California ... Tip 2: Any place which offers the Live Scan service will request a Live Scan Service form. Please visit BRN Fingerprint Information page for more information. Contact. Email: [email protected]; Telephone: (415) 338-1802 ...
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How to Complete Your Equivalency Application Package If you are presently enrolled in or completed a Registered Nurse Licensed Vocational Nurse or Licensed Psychiatric Technician program have received medical training in military services or have received the above license s from a foreign country or U S state you may not have to take further training and may qualify to take the
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Board Of Registered Nursing Live Scan Form
Home Address Street Address or P O Box First Name Driver s License Number Agency Billing Number Billing Number Misc Number Other Identification Number City State Suffix Suffix ZIP Code II have received and read the included Privacy Notice Privacy Act Statement and Applicant s Privacy Rights Applicant Signature Date Your Number
The Board of Registered Nursing highly recommends that applicants apply online If you have previously submitted a paper application do not submit an electronic version as that could slow down the process NOTE The application packet does not include a Live Scan form or Hard Card Please refer to Fingerprint Information to request these
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