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St more than three times in any twelve month period. All candidates who retest must submit a retest application and meet eligibility requirements in effect when they submit the retest application. ANCC may require supporting documentation to determine eligibility. To apply, please complete this form, include payment, and mail it to: ANCC PO Box 8785 Silver Spring, MD 20907-8785 An administration fee of $140 and any special fees are non-refundable. 2012 Fees: ANA Member*: $220 Discount*: $290.

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