Get Reregistration Registered Nurse Wi Form

Filling out the Reregistration Registered Nurse Wi Form is an essential step for registered nurses seeking to renew their licensure in Wisconsin. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete the Reregistration Registered Nurse Wi Form online.

1. Press the ‘Get Form’ button to access the form and open it in your editor of choice.
2. Enter your last name, first name, and middle initial as required. If applicable, include any former or maiden names.
3. Provide your street address, including number, street, city, state, and zip code. If your mailing address differs, fill in the 'Mail To' address section.
4. Fill in your date of birth, formatted as month, day, and year. Include your daytime telephone number.
5. Select your sex (male or female) and provide optional ethnic status information as desired.
6. Indicate your primary residence by selecting the appropriate state where you have established your legal permanent residence.
7. Fill in the state of original licensure and your Wisconsin original licensure number along with its expiration date. Referring to the provided links for this information if necessary.
8. If required, check the box indicating that your license has been expired for more than five years and that you're requesting a limited license.
9. Choose the type of license you are applying for (RN or LPN) and note the associated fees.
10. Attach all required documents as specified in the application section, including verifications of licensure and any necessary court documents.
11. Answer all questions regarding your eligibility and background by marking 'Yes' or 'No' and providing details on attached sheets if necessitated.
12. Complete the certification of legal status by checking the appropriate box and signing the affidavit of the applicant.
13. Submit your social security number as required, or provide a statement if you do not have one.
14. Provide your email address if available for electronic communication regarding application status.
15. Review all entries for accuracy and completeness before final submission.
16. Finally, save changes, download, print, or share the form as needed to complete your application.

Complete your Reregistration Registered Nurse Wi Form online to ensure a smooth reinstatement of your nursing licensure.