Renewal, Retirement, Reinstatement, Change Of Name And Address,

AND LOST LICENSE PROCEDURE. (1) The due date for renewal is the last day of the month in which a licensee’s birth date falls pursuant to the Division of Health Related Board’s biennial birth date renewal system. (a) The Board may request submission of evidence of satisfactory health, character, or professional nursing competence before renewal of registration if a licensee has been inactive in nursing for five (5) years or more, or if questions pertaining to health, character, or competence have been brought to the attention of the Board. (b) Applicants may be required to submit to an evaluation by a qualified expert as determined by the Board. (c) Explanation and supporting documentation regarding the applicant’s background may be required. (d) Anyone submitting a renewal application which is found to be untrue may be subject to disciplinary action as provided in these rules. GENERAL RULES AND REGULATIONS GOVERNING NURSING CHAPTER 1000-01 (2) Methods of Renewal (a) Internet Renewals - Individuals that do not have unreported crime or discipline from another state may apply for renewal and pay the necessary fees via the internet. The application to renew can be accessed via the internet. (b) Paper Renewals - Individuals may also apply for renewal via paper application, which form is available from the Board’s administrative office. Failure to receive any notification from the Board office does not relieve the licensee of the responsibility of meeting all requirements for renewal. (3) Change of Name - Each licensee whose name has changed shall notify the Board in writing of the name change and shall provide both the old and new names. A notification of name change must also include a copy of the official document demonstrating the name change and must reference the licensee’s license number. Such notification must be received in the Board’s administrative office no more than thirty (30) days after such name change became effective. (4) Change of Address - Each licensee who has had a change of mailing address shall notify the Board in writing of his/her current mailing address, giving both old and new addresses. Such notification shall be received in the Board’s administrative office no more than thirty (30) days after such change is effective and must reference the licensee’s name and license number. (5) Licensees who fail to comply with the renewal rules or notification received by them concerning failure to timely renew shall have their licenses processed pursuant to Rule 1200- 10-01-.10. The failure of any nurse to renew the nurse’s license biennially or the failure to pay any fees required by law will automatically forfeit the right of such nurse to practice nursing in this state. (6) Retirement - A person who has filed the required information for retirement of licensure with the Board will be permitted to use the title Advanced Practice Registered Nurse, Retired (APRN, R.), Registered Nurse, Retired (RN, R.) or Licensed Practical Nurse, Retired (LPN, R.). Currently licensed nurses who wish to retire their license may submit to the Board office the following information: (a) A completed Board of Nursing retirement affidavit form. (b) Other documentation that may be required by the Board. (7) Procedure for Lost License - If a license or renewal certificate is lost, the nurse shall notify the Board immediately. The licensee is required to attest to the loss under penalty of perjury, supply identifying information and pay the required fee. (8) Reinstatement of a License - Reinstatement of a license may be accomplished upon meeting the following conditions: (a) Completion of the appropriate application signed by the applicant and attested to under penalty of perjury. The application shall include the results of a biometric criminal background check that the applicant has caused to be submitted to the Board’s administrative office directly from the vendor identified by the Board; and (b) Payment of the Reinstatement and State Regulatory fees, pursuant to rule; and (c) The Board may request submission of evidence of satisfactory health, character, or professional nursing competence before reinstatement. Applicants may be required to submit to an evaluation by a qualified expert as determined by the Board. GENERAL RULES AND REGULATIONS GOVERNING NURSING CHAPTER 1000-01