EMPLOYMENT VERIFICATION NURSING EXPERIENCE - bvnpt ca 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin with Part I, where you will enter your personal information including your name, address, and social security number. Ensure all details are accurate and complete.
  3. Print multiple copies of the form as needed for each employer from the past ten years. Provide these copies to your employers for verification.
  4. Instruct your RN Director or Supervisor to complete Parts II, III, and IV on page two. They must indicate the facility name, employment dates, and confirm your demonstrated skills.
  5. Ensure that the completed forms are returned in a sealed business envelope marked 'Employment Verification Enclosed – Do Not Open' to maintain confidentiality.
  6. Submit the unopened envelopes along with your application for licensure to the Board. Remember that any opened or altered forms will not be accepted.

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A request for license verification must be completed online via BreEZe. Log into your BreEZe account online at: .breeze.ca.gov. Initiate and submit a Request for License Letter Enter in all requested information. Pay the $100 verification fee online. Click Submit.
Method #3 - Equivalent Education and/or Experience This method requires the equivalent of completion of 51 months of paid bedside nursing experience in an acute care facility, verification of skill competency and 54-theory hours of pharmacology.
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