Get Request For Inactive Status - Vermont's Office Of Professional ... - Vtprofessionals

This guide provides clear and concise instructions on how to complete the Request For Inactive Status form for the Vermont Board of Nursing. Follow the steps outlined below to ensure accurate submission of your request.

Follow the steps to complete the Request For Inactive Status form.

1. Click ‘Get Form’ button to access the form and open it in your preferred editor.
2. Begin the form by indicating your request for inactive status. Clearly state your intent to have your license placed on inactive status.
3. Next, circle the appropriate license type: APRN, RN, LPN, or LNA. Ensure you select only one option.
4. Read the statement regarding participation in the Alternative Program and understand that you will need to satisfy all enrollment requirements to return to nursing in the future.
5. Fill out your personal information: Enter your full name in the designated space followed by your current address, including street, city, state, and zip code.
6. Provide your contact information, including a valid phone number and email address. Ensure these are accurate to facilitate communication regarding your request.
7. Indicate your license number in the corresponding field. This information is essential for processing your request.
8. Review your entries for accuracy. Once confirmed, complete the form by signing in the designated area and date the form appropriately.
9. Finally, after filling out the form, you can save your changes, download it for your records, print it out, or share it as needed.

Complete your Request For Inactive Status form online today.