Verification of Employment form - North Dakota Board of Nursing 2026

1. Click ‘Get Form’ to open the Verification of Employment form in our editor.
2. Begin by entering the applicant's name and the last four digits of their Social Security Number at the top of the form.
3. Fill in the applicant's address, city, state, and ZIP code accurately to ensure proper identification.
4. Provide details about the Master/Power Limited Electrician’s name and license number, along with the position held by the applicant.
5. Indicate the dates of employment by filling in both start and end dates, ensuring they match payroll records.
6. Enter the total hours worked in electrical/power limited roles and confirm if these hours are verified from payroll records.
7. Answer whether work was completed in North Dakota and attach a list of jobs if required. Ensure all necessary signatures are included before finalizing.

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