
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

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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People Also Ask about
How do I get my California nursing license from another state?
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
Does BLS count as CEU in California?
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.
How many CEUS are required for nurses in California?
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.
Does California require Cgfns?
The California Board of Registered Nursing evaluates nursing credentials itself – you do not have to use another service. However, if you have already paid for evaluation by the Commission on Graduates of Foreign Nursing Schools (CGFNS), the state will accept their evaluation reports.
What are the requirements for CE in California?
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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What is license discipline / conviction certification?
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.
Who is required to file license discipline / conviction certification?
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.
How to fill out license discipline / conviction certification?
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.
What is the purpose of license discipline / conviction certification?
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.
What information must be reported on license discipline / conviction certification?
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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