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Get Tx Petition For Reinstatement Of License 2014-2025
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How to fill out the TX Petition For Reinstatement Of License online
Completing the TX Petition For Reinstatement Of License is a crucial step for individuals seeking to regain their nursing license. This guide will provide a clear and supportive walkthrough of the online petition process, ensuring that all necessary information is accurately submitted.
Follow the steps to successfully complete your petition online.
- Click ‘Get Form’ button to access the online version of the petition and open it in an editable format.
- Enter your full name, including your first, middle, and last names as requested in the form. Ensure all entries are typed or printed legibly in either blue or black ink.
- Provide your contact information, including your current address, home telephone number, and work telephone number.
- Fill in your license number along with the date of revocation or voluntary surrender, and briefly describe the reason for the revocation or surrender.
- List the name and address of your current employer alongside your position there.
- Address questions regarding any past addiction or treatment for substance use, by selecting 'Yes' or 'No.' If applicable, include relevant documentation supporting your current ability to practice nursing safely.
- Respond to questions about any psychological diagnoses or treatments received in the past five years, again providing relevant documentation if you answer 'Yes.'
- Disclose any arrests, convictions, or judicial actions taken against you for offenses other than minor traffic violations, ensuring that the explanation is thorough.
- Indicate whether any licensing authority has acted against you in terms of rejection, revocation, or other disciplinary actions and provide copies of any related documentation.
- Detail your employment history since graduating from your nursing program, providing the positions held, dates of employment, and facilities worked at.
- Outline any additional steps you have taken to ensure your current competency and safety as a practicing nurse.
- Confirm that you have included documentation verifying the completion of the mandatory 20 contact hours of continuing education.
- Carefully review all responses for accuracy and legibility before signing and dating the petition, as only you can submit this form.
- Once completed, save all changes to the document. You can then download, print, or share the form as needed.
Take the next step towards reinstating your license by completing the TX Petition For Reinstatement Of License online now.
This request for hearing form should be filed with the Coordinator, Office of the Attorney General, within 20 days after you were served with the petition to suspend license and should be completely filled out by you or your attorney if you wish to have a hearing before a decision is made regarding the suspension of ...
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