Forms

Applications:

• Endorsement
• Graduates & NCLEX Examinations
• Advanced Practice Registered Nurse
• Six Month Permits & Temporary Licenses
• Renewals

Initial Licensure & Recognition Forms:

• Primary State of Residence Declaration
• Publications Order
• Nurse Database Electronic File Order
• Radiological Procedures
• Declaratory Order
• NCLEX Examination Special Accommodation
• Affidavit of Graduation:
  • Vocational Nurse
  • RN
• Schedule of Fees

Safe Harbor Forms - Nursing Peer Review

Online Services:

All applications and renewals are done through the Texas Nurse Portal

• Nurse Quick Confirm
• Request for Board of Nursing - Fingerprint Card Request

Discipline & Complaints - Compliance Forms

• Fine form - more information
• Monitoring fees form - more information
• Administrative reimbursement form - more information
• Board’s Notification of Employment form - more information, and
• Instructions for drug screen collection - more information

For Schools

• Blank New/Accepted Student Roster Form for Texas Schools of Nursing

Other

• Forms for US States/Territories and international jurisdictions that do not participate in electronic verifications via NURSYS

  NOTE: These forms are specifically for Endorsement & NCLEX Applicants for initial Texas licensure. Texas LVNs/RNs/APRNs who need a verification of their Texas license sent to another jurisdiction/agency should submit a request via their Texas Nurse Portal.

  • LVN Verification of Licensure form
  • RN Verification of Licensure form