Georgia board of nursing employment verification form 2026

1. Click ‘Get Form’ to open it in the editor.
2. In Section I, enter your printed name, address, and contact information. Ensure that the employer's name and address match what you provided in your application.
3. Sign the release statement authorizing the Georgia Board of Nursing to access your employment records.
4. Submit the form to your employer for completion of Section II. Make sure they fill out all required fields accurately.
5. In Section II, your employer will provide their facility's name, address, and verify your position and employment dates. They must also confirm if any specific licenses or certifications are necessary for your role.
6. Ensure that your employer lists the number of hours worked per year along with a job description.
7. Finally, have the employer sign and date the form. It must be returned to you in a sealed envelope for submission with your application.

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