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Applications   (please see download instructions below)

MEDCEU or its affiliates, i.e. American Medical Education, Inc. contact hours are no longer accepted by ABN

The Alabama Board of Nursing no longer accepts continuing education contact hours acquired from MEDCEU or its affiliates, i.e. American Medical Education, Inc..  If you have questions regarding this issue, please contact Carolyn Morgan at 1-800-656-5318.


License Applications and Instructions

 Note: These are downloadable paper applications. If you want to apply online, go here.

AS OF JANUARY 1, 2010, THE ALABAMA BOARD OF NURSING WILL NO LONGER ACCEPT PAPER APPLICATIONS.  IF YOU DOWNLOAD AN APPLICATION, BE SURE TO HAVE IT TO THE BOARD NO LATER THAN DECEMBER 31, 2009.

Application for Licensure by Examination - Use this application if you have never been licensed in any state and have graduated from nursing school. (MS Word) (PDF)

Application for Licensure by Endorsement
- Use this application if you have been licensed in another state and want to obtain an Alabama license.

Please do not send in supporting documentation until an initial endorsement application has been submitted.

Endorsement applicants from Alaska, Arizona, Arkansas, Colorado, Delaware, District of Columbia, Florida, Idaho, Iowa, Indiana, Kentucky, Louisiana (RN only), Maine, Maryland, Massachusetts, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Jersey, New Mexico, North Carolina, North Dakota, Ohio, Oregon,  Rhode Island, South Carolina, South Dakota, Tennessee, Texas RN, Texas VN, Utah, Vermont, Virginia, Washington, West Virginia PN, Wisconsin, and Wyoming must order license verification from www.nursys.com.
 

(MS Word) (PDF)
Request for Duplicate Credentials - Use this form to request a duplicate license card.
(For name change, lost or stolen license, etc.)
(MS Word) (PDF)
Reinstatement of  Lapsed License - Use this application to reinstate an Alabama license that has lapsed.  (MS Word) (PDF)
Reinstatement of a Revoked License - Use this application to reinstate a Revoked Alabama license.

You may read the criteria for reinstatement of a revoked license, answers to commonly asked questions regarding reinstatement of a revoked license, and instructions for application here.

(MS Word) (PDF)
Application for Reactivation of Inactive License with Retired Status - Use this application if your license is currently in RETIRED status and you would like to apply for reactivation. (MS Word) (PDF)
Renewal for Actively Deployed Nurses - Use this application if you have been actively deployed military and need to renew your license. (MS Word) (PDF)

 

Advanced Practice Instructions and Applications

CRNA or CNS (MS Word)

(PDF)

CRNP or CNM (MS Word) (PDF)
Add or Change Collaborative Practice for CRNP or CNM (MS Word) (PDF)
Covering (Backup) Physician for CRNP or CNM (MS Word) (PDF)
Reinstatement for APN   (PDF)

 

Continuing Education Provider Applications
Initial Application for Approval as CE Provider - Use this application if you have never been issued an ABN provider number. A $400.00 provider fee must be submitted with the application. (MS Word) (PDF)
Application for Continued Approval as CE Provider -Use this application if you are an active ABN provider seeking to renew provider status. A $400.00 provider fee must be submitted with the application. (MS Word)  (PDF)
Application for continuing education provider reinstatement - Use this application if you are reinstating a lapsed or retired ABN issued provider number. A $500.00 fee must be submitted with the application.

(MS Word)

(PDF)

 


Download Instructions

Our applications are available in the Adobe Acrobat format (PDF). You will need to install the Adobe Acrobat Reader in order to access them . Adobe Acrobat files have filenames with the ".pdf" extension.  You may view and print documents with earlier versions of the reader, but will need Adobe Acrobat Ver. 4 or higher if you wish to save files to your system.  To obtain the latest copy of Acrobat Reader, see the sidebar to the right.

Our applications are also available in Microsoft Word format (MS Word).   See the sidebar to the right for details on how to view these files.

IMPORTANT: Please note that while every effort is made to insure the accuracy of these documents, we cannot guarantee that they are the newest versions.

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click to download Acrobat Reader
PDF Files
Adobe Acrobat Reader is required to view PDF files.  Click on the icon above to download Acrobat Reader if you have not previously installed it.
Word FIles
Any file ending in ".doc" can still be accessed by using either Microsoft Word or the free Microsoft Word Viewer. Please visit Microsoft's Download Center to download the viewer if you do not have access to Microsoft Word.


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 1-800-656-5318  |  Alabama Board of Nursing P.O. Box 303900 Montgomery, AL 36130-3900