Oklahoma board of nursing employment verification form 2026

1. Click ‘Get Form’ to open it in the editor.
2. In Section I, the applicant/licensee must fill out their name and select the type of application (Endorsement, Reinstatement, APRN licensure, or Renewal Audit). Ensure that you sign and date this section to authorize your employer to complete the form.
3. Move to Section II, which is for the employer. Here, they will need to provide their name, address, and telephone number. They should also list the title(s) of positions held by the employee along with dates of employment.
4. The employer must certify whether the nurse has worked 520 hours or more in a nursing position within the last two years. If applicable, they should indicate current employment status and provide additional details as required.
5. Finally, ensure that all sections are completed accurately before submitting. The employer should sign and date this section before returning it directly to the Board office via mail or fax.

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