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Registered Nurse - Application Forms 

Profession Forms
Form # Title/Description
2193 Wisconsin Act 146 - 72 hour Practice Exception
OLAS  OLAS (Online Licensure Application System) WI Board of Nursing-approved schools
Application for Examination, New Graduate
Form # Title/Description
739  Registered Nurse/Licensed Practical Nurse Licensure by Examination Application You must also register with NCLEX.
2434  Temporary Permit Request For Registered Nurse or Licensed Practical Nurse 
Can only be processed if complete application (Form #739) is received with all required fees.
259  WI Board Approved  Statement of Graduation or Completion For WI board approved schools only.
3049 Wisconsin Act 114 Certificate of Approval to take Examination 
741  Verification of Licensure For people licensed in another state or country. Use this form if your state(s) are not part of Nursys.
2252  Convictions and Pending Charges  "NEW" This document is in a fillable format. If applicable, please print, sign, and return with application materials to the Department.
 
Application for people licensed in other states 
If you hold a license in a compact state, helpful information is available at www.ncsbn.org and Wis.Stat.Sec.441.50 (4))
Form # Title/Description
772  Registered Nurse /Licensed Practical Nurse by Endorsement Application 
741  Verification of Licensure For people licensed in another state or country. Use this form if your state(s) are not part of Nursys.
2252  Convictions and Pending Charges "NEW" This document is in a fillable format. If applicable, please print, sign, and return with application materials to the Department.
 
Application for Re-registration
Form # Title/Description
2460  Application For Re-Registration of Registered Nursing / Licensed Practical Nurse License 
2765 Information for Completing Registered Nurse Re-Registration Application
2252  Convictions and Pending Charges "NEW" This document is in a fillable format. If applicable, please print, sign, and return with application materials to the Department.
741  Verification of Licensure For people licensed in another state  Use this form if your state(s) are not part of Nursys.
 
Application for Retake Exam for people who failed the NCLEX exam.
Form # Title/Description
1055  Professional Nurse Retake Application For Licensure by Examination 
You must also re-register with NCLEX.
 

Other Information/Forms

Registered Nurse- License Information