From Inactive, Expired, or Lapsed Status INSTRUCTIONS 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information in Section A. Fill in your legal name, mailing address, date of birth, and social security number. Ensure all details are accurate to avoid processing delays.
3. In Section B, declare your primary state of residence and check the appropriate box regarding your military status if applicable.
4. Proceed to Section E where you must meet one of the continuing competency criteria. Check the box that applies to your situation and provide any necessary documentation.
5. Complete Section F by indicating whether you have practiced nursing since your license expired. If yes, provide details about your practice.
6. Finally, review all sections for completeness and accuracy before signing the application in the attestation section. Remember that electronic signatures are not accepted.

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