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How to use or fill out New Mexico Board of Nursing 2012 Form

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Click ‘Get Form’ to open it in the editor.
Begin with Section 1: Fees and Fingerprint Cards. Ensure you include the correct application fee and fingerprint cards, as applications without these will be returned.
Move to Section 2: Personal Information. Fill in your full legal name, mailing address, and contact details. If applicable, provide documentation for any name changes.
In Section 3: Education History, list all relevant educational institutions attended, including nursing programs and degrees obtained.
Complete Section 4: Declaration of Primary State of Residency by indicating your permanent residence. Be cautious if declaring a compact state as it may affect your eligibility.
Proceed to Section 5: Licensure. Provide details about your original state of licensure and ensure verification is requested from that state.
Answer all questions in Section 6: Disciplinary with a YES or NO response. If YES, attach explanations and relevant documents.
Finally, sign and date the application in Section 7. Remember that unsigned applications will be returned.

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