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Board of Nursing: LPN Applications and Forms Documents

Licensed Practical Nurse (PN) Applications

Licensure
  • Licensed Practical Nurse - Original License by Examination or Endorsement (Apply Online)
    • Online Exam/Endorsement Application Checklist
  • Licensed Practical Nurse - Reinstate Expired License (Apply Online)
    • PN Reinstatement Application Checklist
  • Licensed Practical Nurse - Reactivate Inactive License
  • Licensed Practical Nurse - Change Status to Inactive
  • Licensed Practical Nurse - Change Status to Volunteer
IV Authority
  • Licensed Practical Nurse - IV or Compact IV Authority (Apply Online)
    • IV Authority - Online Application Checklist
  • Licensed Practical Nurse - Reinstate IV or Compact IV Authority (Apply Online)
    • IV Authority - Online Reinstatement Application Checklist
Additional Applications, Forms & Checklists
  • Licensed Practical Nurse - Original (Non-NURSYS Participating States) Verification
  • Licensed Practical Nurse - Competency to Practice Form
  • IV Authority - Competency Checklist
  • Licensed Practical Nurse - Declaration of Primary State of Residence
  • Licensed Practical Nurse - Special or Student Permit Application
  • Test Accommodation Request Form

Contact Information

Division of Professions and Occupations
1560 Broadway, Suite 1350
Denver, CO 80202

Phone: 303-894-7800  |  Fax: 303-894-7693  |  Email: dora_dpo_licensing@state.co.us

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