Get Osbn Fingerprint Identity Verification Form - State Of Oregon - Oregon

The OSBN Fingerprint Identity Verification Form is essential for individuals applying for nursing licensure or certification in Oregon. This guide provides clear, step-by-step instructions on how to accurately complete the form online, ensuring a smooth submission process.

Follow the steps to successfully complete the OSBN Fingerprint Identity Verification Form.

1. Click the ‘Get Form’ button to obtain the form, allowing you to open and view it in the recommended format.
2. Carefully read and complete Section 1 of the form. Ensure to fill in your last name, first name, middle name, social security number, and date of birth correctly. Select your gender and provide any former names, if applicable. Finally, fill out your mailing address with city, state, and zip code.
3. You must file an application for Oregon nursing licensure or certification. Indicate the application type you are submitting or have on file with the OSBN by checking the appropriate box.
4. Choose a fingerprinting facility and contact them for an appointment, if necessary. Most law enforcement agencies provide this service and you can also find additional options listed under 'Fingerprinting' in local directories. Be aware that facilities may charge a fee for this service.
5. Take the completed Fingerprint Identity Verification Form and the fingerprint card (Federal Form FD 258) to the fingerprinting facility. Fill in the necessary fields on both forms in blue or black ink. The fields on the fingerprint card include your name, race, natural hair color, aliases, height, date of birth, social security number, weight, place of birth, sex, and natural eye color.
6. The fingerprinting official must witness your signature on the fingerprint card. Ensure the completed fingerprint documents are placed in a sealed envelope by the fingerprinting official before you leave the facility.
7. Finally, send the sealed envelope containing the fingerprint documents, along with the completed application, to the Oregon State Board of Nursing (OSBN) for processing. Remember that the fingerprint card will be rejected if the Fingerprint Identity Verification Form is not included.
8. Once you have filled out and submitted the necessary documents, you can choose to save changes, download a copy, print, or share the form as needed.

Complete and submit your OSBN Fingerprint Identity Verification Form online today to move forward in your nursing application process.