Georgia Board of Nursing Licensure By Endorsement as a 2025

1. Click ‘Get Form’ to open the Georgia Board of Nursing Licensure By Endorsement in the editor.
2. In Section I, enter your last name, first name, physical address, city, state, phone number, email, and zip code. Ensure that this information matches your application.
3. Sign and date the consent statement authorizing the release of your employment records.
4. Submit this form to your employer for completion. They will need to fill out Section II with their details and verify your employment.
5. Ensure your employer accurately documents your position/title and whether licensure as a practical nurse was required.
6. Once completed, have your employer sign and date the form. They can submit it directly to the Georgia Board of Nursing via email or provide it to you in a sealed envelope.

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