Forms and Applications

We want to to provide easy access to the forms and applications you need. On this page, you can find information and sample application forms for nurses, medication aides, dialysis technicians, community health workers and more.

Check the Status of Your License Application

To check the status of a license application, log onto your dashboard, click “options” and then “review status.” If you need assistance accessing your Dashboard, please contact the Ohio eLicense Customer Service Help Desk at 614-466-3947 Option 1 Monday-Friday, 8am-5pm.

 

Application Fees Must be Paid Online Using a Credit or Debit Card

Application fees must be paid online using a Master Card, VISA or Discover credit or debit card. If you do not have this type of personal credit or debit card, you can obtain these pre-paid cards at local stores.

If the fee is not paid when you submit your application online, the application will be incomplete and will not be processed until you submit all required fees. All fees are non-refundable.

If you purchase a prepaid Master Card, VISA or Discover credit or debit card, please have enough funds on it to cover (a) the credit/debit card company’s processing fee, if applicable; (b) the Board’s application fee; and (c) the state’s transaction fee of $3.50.

Nurse Licensure by Examination and Reciprocity Process Information and Forms

All licensure and certification applications must be completed online. Please go to the front page of the website and click the box “eLicense.Ohio.gov” to access the online applications. The “sample” applications on the web page are for reference only and are provided for informational purposes.

Checking the Status of Your Application: To check the status of a license application, log onto your dashboard, click “options” and then “review status.” If you need assistance accessing your Dashboard, please contact the Ohio eLicense Customer Service Help Desk at 614-466-3947 Option 1 Monday-Friday, 8am-5pm.  Refer to the instructions on the web page regarding recommended browsers.  Once we have started processing your application, your name will appear as “in review” until your license is issued.

Online Payments: Fees must be paid online. Use Master Card, VISA or Discover credit or debit cards. If you do not have this type of personal credit or debit card, you can obtain these pre-paid cards at local stores. If the fee is not paid, the application will be incomplete and will not be processed.

Criminal Records: See criminal records checks information in the Licensing & Certification section of our site.

We are committed to issuing licenses as quickly as possible. Thank you for your patience.

RN/LPN Exam Application

All licensure and certification applications must be completed online. Please go to the online eLicense website at “eLicense.Ohio.gov” to access the online applications. The “sample” applications on this web page are for reference only and are provided for informational purposes.

RN/LPN Reciprocity Applicants

Endorsement Applicants: If you hold a license in a NURSYS State, you must request a verification on-line at www.nursys.com. If you do not know if your state is part of the NURSYS system, you can view this information on this web site.

All licensure and certification applications must be completed online. Please go to the front page of the website and click the box “eLicense.Ohio.gov” to access the online applications. The “sample” applications on the web page are for reference only and are provided for informational purposes.

CRIMINAL RECORDS: See criminal records checks information in the Licensing & Certification section of our site.

Advanced Practice Registered Nursing Forms

All licensure and certification applications must be completed online. Please go to the front page of the website and click the box “eLicense.Ohio.gov” to access the online applications. The “sample” applications on the web page are for reference only and are provided for informational purposes. You must have an active RN license in Ohio to apply  for an APRN license. You can apply for an APRN license from your RN dashboard.  On eLicense by clicking on “options” and “apply for a endorsement”.

CHECKING THE STATUS OF YOUR APPLICATION: Check the status of your application on the Board’s web site at http://www.nursing.ohio.gov/Verification.htm. Click on ”verification” and you will be directed to the license and certificate verification site.  Refer to the instructions on the web page regarding recommended browsers.  Once we have started processing your application, it will appear as “in review” until your license is issued.

ONLINE PAYMENTS: Fees must be paid online. Use Master Card, VISA or Discover credit or debit cards. If you do not have this type of personal credit or debit card, you can obtain these pre-paid cards at local stores. If the fee is not paid, the application will be incomplete and will not be processed.

Nurse License Renewal, Reactivation and Reinstatement Process Information and Forms

All licensure and certification applications must be completed online. Please go to the front page of the website and click the box “eLicense.Ohio.gov” to access the online applications. The “sample” applications on the web page are for reference only and are provided for informational purposes.

Nursing Education Program Related Forms

Program Completion Letter Guidelines

The Board of Nursing accepts completion program letters by email. Find guidance documents and samples below. If you have any questions, please email education@nursing.ohio.gov.

New Program Proposal Forms

Education Program Pre-Survey Visit Forms

Education Program Annual Report Form Samples

Continuing Education Related Forms

Nursing Education Grant Program (NEGP Forms)

Community Health Workers Forms

All licensure and certification applications must be completed online. Please go to the front page of the website and click the box “eLicense.Ohio.gov” to access the online applications. The “sample” applications on the web page are for reference only and are provided for informational purposes.

Program Approval Forms

Dialysis Technicians Forms

All licensure and certification applications must be completed online. Please go to the front page of the website and click the box “eLicense.Ohio.gov” to access the online applications. The “sample” applications on the web page are for reference only and are provided for informational purposes.

Program Approval Forms

Medication Aides Forms

All licensure and certification applications must be completed online. Please go to the front page of the website and click the box “eLicense.Ohio.gov” to access the online applications. The “sample” applications on the web page are for reference only and are provided for informational purposes.

Program Approval Forms

Volunteer Certificate Forms

Alternative Program for Substance Use Disorder

Compliance Post-Disciplinary Monitoring