You must have JavaScript enabled to use this form. Department Please select a department to contact.GeneralAPRN Registration-Approval-RenewalAPRN PracticeCBC-Live ScanCRNA Recognition-UpdateContinuing Competence/Education Submission of EvidenceData Requests-Mailing ListsDisciplinary Actions-Records Request-OrdersDiscipline Reinstatement RequestEducation (Pre-Licensure Nursing Programs)ElectionsEndorsement (Transfer RN-LPN License)Examination (NCLEX RN/LPN)Laws & RulesLegislativeLicensureMediaMedication AideMeetingsName-Address ChangeNurse Aide IINurse Complaints (Public-Employer)PracticeRenewal-Reinstatement-Inactive-Retired StatusTechnical Support Your Name Your Email Phone Number Level of Licensure RN? LPN? NP? Other… Enter other… Practice Setting Hospital LTC? Clinic Home Health Other… Enter other… Message Leave this field blank
