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Appendix C
NSU LPP Claims forms
NSU Application Form for Nursing Practice Premiums
To be completed by Applicant and submitted to Manager by October 31st
Eligible 12-Month
Period November 1, 20___
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How to fill out 137 appendix c nsnu
How to fill out 137 appendix c nsnu
01
Obtain a copy of the 137 Appendix C NSNU form.
02
Fill in the required personal information such as name, address, and contact details.
03
Provide details of the nursing school you attended, including the name and location.
04
Indicate the date of your graduation and the type of nursing degree you obtained.
05
Complete any additional sections or questions as necessary.
06
Review the form for accuracy and completeness before submitting it.
Who needs 137 appendix c nsnu?
01
Nurses who are applying for licensure or registration in the state of NSNU.
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