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Reinstatement Instructions and Forms

Licenses that have lapsed may be reinstated by completing the application for reinstatement, paying the license and penalty fee, submitting verification of licensure in each jurisdiction where the applicant held a license to practice nursing during the time the license was lapsed and providing proof of fulfillment of continuing competency requirements. If your license has been lapsed more than 1 year you must have a State of Alaska and FBI background check by submitting a completed fingerprint card (FD-258).

If the applicant has not worked in the preceding five years, the applicant must submit proof of completion of a course of study (refresher course) approved by the board (12 AAC 44.317 (b)(5)).

A license that has lapsed more than five years will be reinstated by meeting the requirements listed above and AS 08.68.251(b). (See 12 AAC 44.317 and AS 08.68.251(b)).

Before a license can be reinstated, registered and practical nurse licensees must complete two of the following methods for maintaining continuing competency (Article 6 of 12 AAC) and submit the documentation with their reinstatement application.

   (a) 30 contact hours of continuing education prescribed under 12 AAC 44.610
   (b) 30 hours of participation in professional activities prescribed under 12 AAC 44.620
   (c) 320 hours of employment prescribed under 12 AAC 44.630

Application for Reinstatement of Nursing License,
#08-4067, Revised 02/2013.


 
 
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Applications may be viewed andprinted with AdobeAcrobat Reader6.0 or higher. If you do not have Adobe Acrobat Reader 6.0 or higher, please click on the Adobe logo and download the free software now. If you are unable to view or download an application, please contact us by telephone or e-mail. Providing your complete mailing address will enable us to mail you the application.

Other application forms may be mailed to you or picked up at a division office. Completed applications must be signed and submitted to the division with the appropriate fees.

 
 

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