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 Licensed Practical Nurse - Application Forms 

Profession Forms
Form # Title/Description
2193 Wisconsin Act 146 - 72 hour Practice Exception
OLAS OLAS (Online Licensure Application System) WI Board of Nursing-approved schools
Application Forms
Form # Title/Description
3087 Application for Registered Nurse/Licensed Practical Nurse Licensure
2434 Temporary Permit Request For Registered Nurse or Licensed Practical Nurse Exam candidates only.
259  WI Board-Approved Statement of Graduation or Completion Exam candidates  graduating from WI Board-approved schools only.
3049  Wisconsin Act 114 Certificate of Approval to take Examination Exam candidates only. (Only needed if requesting permission to take NCLEX prior to completion of nursing program.)
2252 Convictions and Pending Charges 
2829Malpractice Suits or Claims Form  (only needed if applicable) 
1055 Professional Nurse Retake Application for Licensure by Examination You must also re-register with NCLEX. 
3071Fax Payment Form 

Other Information/Forms

Licensed Practical Nurse - License Information