New york form 1 lpn 2026

1. Click ‘Get Form’ to open New York Form 1 LPN in the editor.
2. Begin by filling in your personal information, including your name, Social Security Number, and date of birth. Ensure that the name matches exactly with your identification documents.
3. Indicate whether you are applying for a Registered Nurse or Licensed Practical Nurse license by checking the appropriate box.
4. Provide your contact details, including your mailing address and phone number. Specify if these are home or business addresses.
5. Complete the education section by listing all schools attended. Attach additional sheets if necessary, especially if you graduated from a non-New York State approved nursing program.
6. Answer all questions regarding previous licenses and any criminal history accurately. If applicable, provide detailed explanations for any 'Yes' responses.
7. Finally, sign and date the affidavit in front of a Notary Public to validate your application before submission.

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