State of Wisconsin Department of Regulation & Licensing
Ensuring the availability of safe and competent professional services
Secretary Celia Jackson
 Secretary Jackson
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Registered Nurse by Endorsement - Application Forms

Petitions for refunds must be in writing and may be granted only if the criteria set forth in Wis. Admin. Code s. RL 4.06 are met.



Registered Nurse by Endorsement Application Packet-for people licensed in other states (all forms in the list below, must be printed and reviewed for a complete application packet.)

Form #
Title
Application Information Form
Information For Completing Registered Nurse Endorsement Application
Registered Nurse Licensure by Endorsement Application
Statement of Graduation Exam (For board approved schools only, US and US Territory)
Statement of Foreign Nursing Education (For foreign graduates only, this includes Canada.)
Verification of Licensure (For people licensed in another state or country. Use this form if your state(s) are not part of Nursys.)

Nursys

Nursys License Verification (For people licensed in another state. Use this link if your state(s) are part of Nursys.)
Request For Temporary Permit For Registered Nurse or Licensed Practical Nurse (Can only be processed if complete application form #772 is received with all required fees.)
Convictions and Pending Charges
Notices (Department Information)