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Get the free license discipline / conviction certification

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This form is for licensees of the Board of Registered Nursing in California to certify their license status concerning any disciplinary actions or convictions since their last renewal.
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How to fill out license discipline / conviction certification

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How to fill out license discipline / conviction certification

01
Obtain the official license discipline/conviction certification form from your licensing authority.
02
Fill out your personal information, including your full name, address, and license number.
03
Read the instructions carefully to understand the specific details required for your state or profession.
04
Provide information regarding any disciplinary actions or convictions, including dates and descriptions.
05
Attach any supporting documentation required, such as court records or disciplinary notices.
06
Review your application for accuracy and completeness to avoid delays.
07
Sign and date the certification form before submitting it as per the instructions provided.

Who needs license discipline / conviction certification?

01
Individuals applying for or renewing a professional license that requires a background check.
02
Professionals who have faced disciplinary action or conviction and need to disclose this information.
03
Organizations or employers in regulated industries requiring verification of a candidate's background.
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To qualify for endorsement (reciprocity) into California as an RN, you must hold a current and active RN license in another state, U.S. territory, or Canada, have completed an educational program meeting all California requirements, and have passed the National Council Licensure Examination (NCLEX-RN®) or the State
The California Dental Board credits 4-hours of continuing education units for the American Heart Association BLS Provider certification. A copy of your American Heart Association BLS Provider card is all you need to receive 4-hours of CEU's from the California Dental Board.
In the State of California, Registered nurses are required by law (California Code of Regulations, Section 1451, Article 5) to complete 30 contact hours of continuing education every two years, in addition to paying the renewal fee, to maintain an active license.
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Complete a minimum of 24 continuing education (CE) credit hours for the license type during each two-year license term. Licensees must also complete three hours of ethics CE training every license term as a part of the requirements.

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License discipline / conviction certification is a formal document that verifies whether a professional license has been subject to any disciplinary actions or convictions related to the license holder's conduct.
Individuals who hold professional licenses and are applying for renewal or a new license, as well as employers or organizations that require such certification for compliance and verification purposes.
To fill out the certification, complete the required sections detailing personal information, license details, and disclose any disciplinary actions or convictions as required by the licensing authority.
The purpose is to ensure that license holders maintain the integrity and credibility of their profession by providing transparent information regarding their disciplinary history or criminal background.
Information that must be reported includes the nature of any disciplinary actions, dates of any convictions, details of the incidents, and any relevant court or administrative decisions.
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