Get Ny Nurse Form 1 2019-2026

This guide provides a detailed, step-by-step approach to completing the NY Nurse Form 1 online, ensuring that applicants can successfully navigate the application process for licensure. Follow these instructions carefully to avoid any delays in your application.

Follow the steps to complete your NY Nurse Form 1 online

1. Click ‘Get Form’ button to access the NY Nurse Form 1 and open it in your preferred online editor.
2. Begin by providing your Social Security Number. Leave this section blank if you do not possess a U.S. Social Security Number.
3. Enter your birth date in the specified format: Month, Day, Year.
4. Clearly print your name in the designated fields: Last, First, and Middle.
5. Input your daytime telephone number and email address. Indicate whether this information is for your home or business.
6. Provide your mailing address with necessary details and indicate if it is your home or business address.
7. If applicable, fill in your New York State DMV ID Number and leave it blank if you do not have one.
8. Answer the question regarding whether you have a CGFNS record, and if yes, enter your CGFNS number.
9. Complete the section regarding prior applications for New York State licensure, answering yes or no appropriately.
10. Respond to the criminal history questions (10-14), providing explanations if you answer yes to any.
11. List any licenses or certificates you hold or have previously held in any state, along with the required details.
12. Complete the education sections with details about schools attended, degrees obtained, and certificates awarded. Be thorough, as missing information will render your application incomplete.
13. If you have taken the SBTP, NCLEX, or other examinations, fill out that section with the relevant exam details.
14. Certify your child support obligations by selecting the appropriate option.
15. Indicate your citizenship or immigration status, ensuring you complete the required field accurately.
16. RN applicants should verify their child abuse identification and infection control training requirements by checking the appropriate box.
17. If applicable, indicate any requests for reasonable testing accommodations due to disabilities.
18. Provide optional gender and ethnicity information, noting that this data is for statistical purposes only.
19. Give permission for the New York State Education Department to release examination results to your professional school.
20. Review and complete the Affidavit section, ensuring to sign and date in the presence of a Notary Public.
21. Conclude by saving changes, downloading, or printing the completed NY Nurse Form 1 to submit along with your payment.

Complete your NY Nurse Form 1 online today and take your first step towards licensure.