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NE DHHS Nursing Application for Reinstatement from Inactive Expired or Lapsed Status 2019 free printable template

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Rev. 031119RN/LPN REINSTATEMENT from Inactive, Expired, or Lapsed StatusINSTRUCTIONSThe following information is for persons who currently hold an inactive, expired, or lapsed Nebraska RN or LPN license.
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NE DHHS Nursing Application for Reinstatement from Inactive Expired or Lapsed Status Form Versions

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How to fill out NE DHHS Nursing Application for Reinstatement from Inactive Expired

01
Obtain the NE DHHS Nursing Application for Reinstatement form from the online portal or by contacting the Nebraska DHHS.
02
Carefully read the instructions provided with the application form to understand the requirements.
03
Complete the application form with accurate personal information, including your full name, address, and contact information.
04
Provide details regarding your previous nursing license, including the license number and the reason for expiration or inactivity.
05
Include any required documentation, such as proof of continuing education, work experience, or relevant certifications.
06
Answer any questions regarding your criminal history or disciplinary actions, if applicable.
07
Review your application for completeness and accuracy before submitting.
08
Pay the required application fee, following the payment instructions outlined in the application guidelines.
09
Submit the application form and any additional documents as directed, either via online submission or by mailing a hard copy to the appropriate address.

Who needs NE DHHS Nursing Application for Reinstatement from Inactive Expired?

01
Individuals whose nursing licenses have expired and are currently inactive.
02
Nurses who wish to reinstate their nursing practice after a period of inactivity.
03
Those who have previously held a nursing license in Nebraska and want to return to active status.
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The NE DHHS Nursing Application for Reinstatement from Inactive Expired is a formal request for nurses whose licenses have lapsed or become inactive to restore their practice privileges in Nebraska.
Those nurses whose licenses have been inactive or expired and wish to resume practicing nursing in Nebraska are required to file this application.
To fill out the application, applicants must provide personal identification details, information about their previous nursing practice, relevant education and training, and disclose any legal or disciplinary actions, along with the required fees.
The purpose of this application is to assess the qualifications and competence of nurses seeking to return to practice after their licenses have become inactive or expired, ensuring public safety and adherence to state regulations.
Applicants must report personal information, details of their nursing education, work history, proof of continued competency, any disciplinary actions taken against them, and other pertinent information as outlined in the application form.
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