Nurse Midwife


License Information

Per Wis. Stat. § 440.08 (2), the required renewal date for the Nurse Midwife credential is 02/28 or 29/even years.  Should you receive your initial credential in the months leading up to this date, you are still required to renew your license by the statutorily defined date.

  • Must possess a current Registered Nurse license in Wisconsin or a multi-state Registered Nurse license in a compact state.
  • Completion of an educational program in nurse-midwifery approved by the American College of Nurse-Midwives.
  • Complete and submit Application for Certification as a Nurse-Midwife including all required documentation.
  • Prior to obtaining certification from the American College of Nurse-Midwives an applicant may be able to obtain a temporary permit.
    • To obtain a temporary permit, the application must be submitted to the Department and the $10.00 temporary permit fee must be paid.
    • Applicants practicing under temporary permits are required to be directly supervised by either a nurse-midwife or a physician. 
  • Obtain certification from American College of Nurse-Midwives.
  • Board review of application.

Application for Licensure


Credentialing Information for Nurse-Midwife Applicants​
​3217​Application for Fee Reduction (If applying for a fee reduction, this form must accompany Form #407.)

Certification Form for Malpractice Insurance Coverage for Nurse-Midwife

Certification of Nurse-Midwifery Degree

​Request for a Temporary Permit for Nurse-Midwife
​2829​Malpractice Suits or Claims Form (If applicable)
​Application for Predetermination (Optional-Submit only if you have been convicted of any felony, misdemeanor, or other violations of federal, state, or local law, including municipal ordinances, in this state or any other and you desire a review of your conviction record before applying for a credential.)
​Convictions and Pending Charges (If applicable)

Renewal Information


  • FEE (See Renewal Dates and Fees)
  • SIG (Signature regarding current malpractice insurance)
  • SVY (Nursing Workforce Survey is required to renew and is available during the open renewal period.) (After this time frame, the survey is shortened and incorporated into the renewal questions.*-Please see below.)
  • RES (Report state of Primary Residency)
  • If your legal status as a qualified alien or nonimmigrant lawfully present in the United States has changed since the issuance of your credential or your last renewal, please contact the Wisconsin Department of Safety and Professional Services at (608) 266-2112 or

*On November 14, 2013, the Wisconsin Board of Nursing moved to allow the DSPS and the DWD to accept a shortened version of the survey outside of the active renewal cycle, which begins 7-8 weeks prior to the renewal deadline.  After the renewal deadline, licensees will need to complete the shortened survey to fulfill the renewal requirements.  The shortened version of the survey will be incorporated into the renewal questions and will not be provided as a separate link.

Wisconsin is a member of the Nurse Licensure Compact, please visit the NCSBN website for more details.

If you also hold a Wisconsin Registered Nurse license, renewing the Nurse Midwife license will automatically renew your Registered Nurse license, unless you are a Primary Resident of another Compact State.

Renewal Method

RDAFRenewal Dates and Fees
R210Active Duty/Discharge Renewal Extension
​Convictions and Pending Charges​ (If applicable for renewal)

Wisconsin Act 210 (effective June 1, 2012)

This Act extends the license of a service member if the license expires while they are on active duty from 90 days to 180 days from the date of discharge. The same applies to a spouse of a service member if the spouse does not practice under their license while the service member is on active duty and does not practice because the service member is on active duty.

This Act repeals a provision of prior law that required a service member to meet all of the requirements for license extension or renewal, except for continuing education requirements, in order to have the license extended.

Service members and spouses may request extensions of licenses beyond 180 days from discharge and may request a waiver or extension of time to complete continuing education requirements due to hardship. Please view Active Duty/Discharge Renewal Extension Form #R210.