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Licensed Practical Nurse- Application Forms
Profession Forms
Form # Title/Description

2193

Wisconsin Act 146 Exception

OLAS

OLAS (Online Licensure Application System) WI Board of Nursing-approved schools‚Äč


Application by Examination, New Graduate 
Form # Title/Description
2252  Convictions and Pending Charges if applicable
706 Information For Registered Nurse/Licensed Practical Nurse Licensure by Examination
You must also register with NCLEX. For efficient processing, new graduates are advised to send in your WI licensure application at least 6 to 8 weeks prior to graduation date.
739  Registered Nurse/Licensed Practical Nurse Licensure by Examination Application 
You must also register with NCLEX.
2433  Request For Temporary Permit For Registered Nurse or Licensed Practical Nurse
Can only be processed if complete application form #738 is received with all required fees
1006  Statement of Foreign Nursing Education For foreign graduates only, this includes Canada
259  Statement of Graduation For board approved schools only, US and US Territory
3049  Wisconsin Act 114 Certificate of Approval to take Examination 
741  Verification of Licensure For people licensed in another state or country. Use this form if your state(s) are not part of Nursys.
 
Application for People Licensed in Other States 
If you hold a license in a compact state, helpful information is available at www.ncsbn.org and Wis.Stat.Sec.441.50 (4)
Form # Title/Description
2252  Convictions and Pending Charges if applicable
676  Information For Completing Licensed Practical Nurse Endorsement Application 
772 Registered Nurse/Licensed Practical Nurse Licensure by Endorsement Application 
2433  Request For Temporary Permit For Registered Nurse or Licensed Practical Nurse 
Can only be processed if complete application form #2224 is received with all required fees .
1006  Statement of Foreign Nursing Education For foreign graduates only, this includes Canada.
259  Statement of Graduation For board approved schools only, US and US Territory.
741  Verification of Licensure For people licensed in another state or country. Use this form if your state(s) are not part of Nursys.
 
Application for Examination Retake 
Form # Title/Description
2607  Notification of RN/LPN Exam Results This includes re-take information.
1055  Nurse Retake Application For Licensure by Examination You must also re-register for this exam with NCLEX. 
 
Application for Re-registration
Form # Title/Description
2460 Application For Re-Registration of Registered Nurse/ Licensed Practical Nursing License 
2252  Convictions and Pending Charges if applicable
2766  Information For Completing Licensed Practical Nurse RE-Registration Application 
741  Verification of Licensure For people licensed in another state. Use this form if your state(s) are not part of Nursys

Other Information/Forms

Licensed Practical Nurse- License Information