Get Cmsrn Recertification & Exam Exemption Application Guide

This guide provides comprehensive instructions on how to effectively complete the CMSRN Recertification & Exam Exemption Application online. By following these steps, users will ensure their application is completed accurately and efficiently.

Follow the steps to complete your application.

1. Press the 'Get Form' button to access the CMSRN Recertification and Exam Exemption Application form and open it in your editor.
2. Begin by filling in personal information. This includes providing your last name, first name, middle initial, last four digits of your Social Security number, and contact details such as your home address, phone number, and email.
3. Input your employer information, including the name and address of your employer, department or unit, your supervisor’s name and contact details, along with your daytime phone number.
4. Complete the certificate and license information section, which requires details about your RN license, including the state, permanent number, original start date, and current expiration date.
5. In the practice experience section, attest that you have accrued a minimum of 1,000 hours of practice in a medical-surgical setting over the last five years by signing and dating the application.
6. Review and acknowledge the policy on denial, suspension, or revocation of certification by signing and dating the statement of understanding provided in the form.
7. Fill out the demographic information, which includes your years of experience as an RN, current position, years of experience in medical-surgical nursing, highest level of nursing education completed, and primary practice settings.
8. At the payment section, select the appropriate fee according to your certification status, and provide your payment method details. Ensure all fees are ready for submission and that checks are made payable to MSNCB.
9. Make copies of your completed application and all attachments for your records. Verify that all sections are complete and there are no missing documents.
10. Submit the completed application along with all required attachments and payment as early as possible, utilizing a reliable mailing method to ensure timely delivery.

Complete and submit your application online to maintain your certification and continue your professional journey.