RN Verification of Licensure Form - Texas Board of Nursing 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Applicant' section. Enter your full name, including any previous names, current address, date of birth, and social security number.
3. Indicate your basic nursing education program type by checking the appropriate box (DIP, ADN, BSN, or OTHER) and provide details such as the name on your original license and the city of your program.
4. Complete the 'Licensing Boards' section by certifying your current licensure status (Active, Inactive, Lapsed) and providing the expiration date. If applicable, indicate if your license has ever been encumbered.
5. In the 'Original Licensing Board' section, fill in details about your basic nursing education program completion and ensure that a licensing board representative signs and seals the document.

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