Get Nurse Form 1 - Op Nysed 2020-2025

Filling out the Nurse Form 1 - Op Nysed is a crucial step for individuals seeking licensure as a nurse in New York State. This guide provides detailed instructions to assist you in completing the form accurately and efficiently.

Follow the steps to successfully complete your application.

1. Press the ‘Get Form’ button to access the application. This will allow you to open the form in your browser.
2. Begin by indicating what you are applying for by checking the appropriate box for either Licensed Practical Nurse or Registered Professional Nurse.
3. Enter your Social Security Number, ensuring to leave this field blank if you do not possess a U.S. Social Security Number.
4. Provide your birth date in the format of Month, Day, and Year.
5. Print your name clearly in the designated fields for Last Name, First Name, and Middle Name.
6. Fill in your daytime phone number and email address accurately, indicating whether they are for home or business purposes.
7. Complete your mailing address, ensuring to specify if the address is a home or business location.
8. If applicable, include your New York State DMV ID Number.
9. If you require any reasonable testing accommodations due to a disability, check the appropriate box and be prepared to submit the related documentation.
10. Answer the questions regarding any past criminal charges, professional misconduct, or disciplinary actions, ensuring you provide explanations if answering 'Yes' to any inquiries.
11. Provide detailed information regarding any examinations you have taken related to nursing licensure, including the state or territory, examination date, and license number if granted.
12. List all education institutions attended, and ensure that all necessary documentation is attached, especially if educated outside the U.S.
13. Indicate if you currently hold or have ever held any professional licenses, including relevant information for each license or certificate.
14. Complete the child support obligation and citizenship/immigration status sections accurately, marking the appropriate boxes.
15. For RN applicants, specify completion of child abuse identification and infection control training requirements.
16. Read the affidavit section thoroughly, signing and dating it in the presence of a Notary Public.
17. Once completed, save your changes. You can download a copy of your filled form and share it as needed. Ensure to mail it along with the appropriate fee to the specified address.

Start filling out your Nurse Form 1 - Op Nysed online to ensure a smooth licensure application process.