Get Ok Rs-03 2024-2026

The OK RS-03 is an essential employment verification form required by the Oklahoma Board of Nursing. This guide will provide clear, step-by-step instructions on how to complete this form online, ensuring a smooth and efficient application process.

Follow the steps to fill out the OK RS-03 online effectively.

1. Click the 'Get Form' button to obtain the OK RS-03 form and open it in the online editor.
2. Begin with Section I, which is to be filled out by the applicant or licensee. Select the type of application from the provided options: endorsement, reinstatement, APRN licensure, renewal audit, or multistate OK existing non-active.
3. Enter your name in the designated field as the nurse/AUA. Below your name, provide your signature to authorize the employer to complete the form.
4. If this form is being submitted for a renewal audit, ensure that you attach the completed audit paperwork.
5. Proceed to Section II, which is completed by the employer. The employer should enter the date and their name, followed by their address, including street, city, and state.
6. The employer must include their telephone number and the title of the position(s) held by the employee, attaching a job description for each listed position.
7. For each position held, complete the fields for the position title, date hired, and the last date in the position.
8. Indicate the last date the employee worked in a position requiring a nursing license or AUA certificate, along with the current employment status.
9. For RN/LPN/APRN applicants, certify whether the nurse has worked 520 hours or more in a qualifying position within the last five years by selecting 'Yes' or 'No' and providing the number of hours if applicable.
10. For AUA applicants, confirm whether the AUA has worked in an acute care setting for at least 12 months within the last 24 months, and specify the employment dates.
11. Read the statement regarding the Oklahoma Nursing Practice Act, ensuring all statements made are true and correct. The employer must sign and date the form at the end.
12. Once all sections are complete, save your changes and download, print, or share the form as needed.

Complete your OK RS-03 online and ensure your application is submitted accurately.