Get Doh 669 218

Completing the Doh 669 218 form is essential for individuals seeking non-NURSYS license verification for their nursing credentials. This guide will provide step-by-step instructions to help you fill out the form accurately and efficiently.

Follow the steps to complete the Doh 669 218 form online.

1. Click the ‘Get Form’ button to obtain the form and open it in your editor.
2. Begin by filling out the top portion of the form with your current name as it appears on your original license. Provide your last name, first name, middle initial, and previous last name if applicable.
3. Enter your social security number, complete address including city, state, zip code, and county.
4. Indicate the original state of your license and provide your license number.
5. Authorize the release of your license data by signing and dating the designated section on the form.
6. After completing the top portion, send the form to your original licensing authority (Board) if they do not participate with NURSYS®.
7. Your licensing authority will need to complete their portion of the form, certifying details such as the license number, date issued, and current license status.
8. Ensure they specify if the license was issued by exam, endorsement, or other means and provide any necessary explanations for disciplinary actions if applicable.
9. Fill out the details regarding the nursing school you completed, including the name, location, type of program, and date of completion.
10. Lastly, your licensing authority should include exam details (e.g., NCLEX) and sign off on the form before it is mailed to the Washington State Nursing Commission.
11. Once the form is fully completed, save any changes made, and prepare to download, print, or share it as needed.

Complete the Doh 669 218 form online today to ensure your nursing license verification process is smooth.