Applicant Checklist
You may print and keep this checklist as a reminder of what forms you have filed and when you filed them. This is for your reference and should not be submitted with your application forms. You should also keep a copy of all application forms submitted.
Online Form 1 - Application for Licensure for Licensed Practical Nurse
All applicants for licensure must initially submit Form 1 along with the $143 licensure and first registration fee. You must answer all questions and provide all information requested unless otherwise indicated. Failure to accurately complete all required parts of the application will delay its review. Additional forms below are required based on the licensure requirements of the profession. Do not use Form 1 to renew your existing license.
If you are applying for licensure as a licensed practical nurse and you did not graduate from a New York State approved nursing program, you must include a copy of your high school or secondary school diploma or transcript in the original language with your Form 1.
If you were educated outside the U.S., include a copy of your nursing diploma in the original language.
Continuing Your Application
If you have started an application within the past 30 days, and have not yet completed it, you can use this link to continue your application. You will need your Application ID, Social Security Number, and Date of Birth.
Upload Additional Documentation
If you have already completed an application, but you have additional documents or files to include in your previous submission, use this link to upload additional documentation. You will need your Application ID and Date of Birth.
Form 2AF - Certification Of Equivalent U.S. Armed Forces Education For LPN Licensure
Complete this form ONLY if you are applying for an LPN license based on completion of equivalent education in a program conducted by the U.S. armed forces.
The Office of the Professions will not accept this form if submitted by the applicant.
- Section I: Complete this section of the form and forward the entire form to the U.S. armed forces program to complete and submit directly to the Office of the Professions at the mailing address on the form.
- Section II: The U.S. armed forces program must complete this section, sign, date and return both pages of the form directly to the Office of the Professions with an official transcript in a sealed armed forces envelope.
Online Form 5 - Application for Limited Permit for Licensed Practical Nurse
All applicants for a limited permit must initially submit Form 5 along with the $35 limited permit fee. You must also submit a Form 5CS - Certification of Supervisor for Limited Permit along with your application.
Continuing Your Application
If you have started an application within the past 30 days, and have not yet completed it, you can use this link to continue your application. You will need your Application ID and Date of Birth.
Upload Additional Documentation
If you have already completed an application, but you have additional documents or files to include in your previous submission, use this link to upload additional documentation. You will need your Application ID and Date of Birth.
Changes to Supervisors and/or Settings
If you change supervisors and/or settings, or you have to add or remove a supervisor or setting, after a permit is issued, you must obtain an amended permit using the Limited Permit Change Form. After changes are processed you will receive an amended permit. A fee is not required for an amended permit issued as a result of a change in supervisor or setting. You must also submit a Form 5CS - Certification of Supervisor for Limited Permit for each new supervisor you are adding (see Upload Additional Documentation above).
You may register online directly with the examination provider, VUE, the electronic testing service of NCS Pearson, to take NCLEX.
Last Updated: December 2, 2020