Get Dos Pa Gov

Filling out the Dos Pa Gov application for licensure by endorsement or temporary practice permit is an essential process for nursing professionals seeking to practice in Pennsylvania. This guide provides a comprehensive and step-by-step walkthrough to help you complete the form accurately and efficiently.

Follow the steps to complete your application online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In Section A, carefully enter your legal name, date of birth, U.S. social security number, and address in blue or black ink only. Ensure all information is legible and accurate.
3. Review Section B which contains important questions regarding past disciplinary actions. Answer truthfully and provide additional details if you answer 'Yes' to any questions.
4. In Section C, indicate your nursing program type and completion date. Ensure that the institution’s name is written in full without abbreviations.
5. Complete Section D by confirming if you have held any professional licenses, and specify the profession and the state or jurisdiction.
6. Fill out Section E if you are applying for a temporary practice permit, certifying that you have a valid nursing license.
7. Read, sign, and date the affidavit in Section F, confirming the accuracy of your application.
8. Save your changes, download or print the completed form. Be sure to mail the completed application and fee to the Board at the specified address.

Begin filling your application for licensure online today to ensure you meet all requirements.