Nursing License Application by Endorsement
About this free form template

Streamline Your Nursing License Application by Endorsement

Moving to a new state as a registered nurse? This Nursing License Application by Endorsement template is designed to help state nursing boards, healthcare facilities, and individual nurses manage the licensure process efficiently when seeking multi-state compact reciprocity.

Built for Healthcare Compliance and Multi-State Licensure

Whether you're a state board of nursing processing applications, a healthcare staffing agency assisting traveling nurses, or a medical facility onboarding nurses from other states, this form captures all the critical information needed for license endorsement including:

  • Complete applicant identification and contact information
  • Current and previous nursing license details with Nursys verification references
  • Educational background and nursing program credentials
  • Employment history and professional references
  • Background check consent and criminal history disclosure
  • Multi-state compact status verification
  • Required documentation tracking and attestations

Automate Your Nursing Credentialing Workflows

This template integrates seamlessly with Paperform's automation capabilities. Once a nurse submits their endorsement application, you can use Stepper to automatically:

  • Send confirmation emails with application tracking numbers
  • Route applications to appropriate review teams based on state or license type
  • Trigger background check requests with third-party verification services
  • Update your credential management system or applicant tracking database
  • Send status updates at each stage of the review process
  • Generate notification emails when additional documentation is required

For applications requiring attestations or authorization signatures, integrate Papersign to send legally binding eSignature requests for consent forms, attestation statements, and authorization documents—keeping everything connected to the original application.

Professional, Compliant and Easy to Customize

This form maintains the professional tone and comprehensive structure required for state regulatory compliance while remaining easy to navigate for applicants. The clear sections and conditional logic ensure nurses only see relevant questions based on their specific situation, whether they're applying under the Nurse Licensure Compact (NLC) or standard endorsement.

Healthcare administrators, nurse recruiters, credentialing specialists, and state board staff will appreciate how Paperform's doc-style editor makes it simple to add your state's specific requirements, update fee structures, or modify attestation language without technical expertise.

Secure, SOC 2 Compliant Data Collection

Healthcare credentialing involves sensitive personal information including Social Security numbers, criminal background disclosures, and professional history. Paperform is SOC 2 Type II compliant with enterprise-grade security, ensuring applicant data is protected throughout the licensure process. While this form is suitable for administrative and credentialing purposes, please note that Paperform is not HIPAA compliant.

Trusted by healthcare organizations, staffing agencies, and professional licensing bodies, this template helps you process nursing license endorsement applications with confidence, speed, and compliance.

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michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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