Blank New York Nurse 1 PDF Form

What is the New York Nurse 1 form?

The New York Nurse 1 form is an application for licensure as a Registered Professional Nurse or Licensed Practical Nurse in New York State. It is required for all individuals seeking to obtain a nursing license in the state. The form must be completed accurately and submitted along with the appropriate fee to the Office of the Professions.

How much does it cost to submit the New York Nurse 1 form?

The total fee for submitting the New York Nurse 1 form is $143. This amount includes a $70 application fee and a $73 fee for your first registration period. It is important to note that the application fee is non-refundable, regardless of the outcome of your application.

What happens if I do not complete the form correctly?

If the New York Nurse 1 form is not completed correctly or if any required information is missing, the review of your application will be delayed. It is crucial to answer all questions fully and accurately to avoid any complications in the processing of your application.

Why is it important for my name to match exactly on all documents?

The name you provide on the New York Nurse 1 form must match exactly with the name on your photo identification and your NCLEX application. Any discrepancies can lead to delays in your authorization to test and may prevent you from taking the exam at your scheduled time. You may also incur additional fees due to these issues.

What should I do if I have a criminal record?

If you have ever been found guilty of a crime or have pending criminal charges, you must disclose this information on the application. You will need to provide a detailed explanation in a letter and include copies of any relevant court records. This is crucial for transparency and compliance with state regulations.

What are the requirements for child support obligations?

All applicants must certify their child support obligations on the New York Nurse 1 form. If you are four months or more in arrears on child support, you may face suspension of your professional license. Ensure you complete this section accurately to avoid complications with your application.

Do I need to provide proof of citizenship or immigration status?

Yes, federal law requires that all applicants for professional licenses in New York provide proof of citizenship or qualified immigration status. You must check the appropriate box on the form that reflects your status and provide any necessary documentation, such as your alien registration number if applicable.

What training requirements must I fulfill as part of my application?

As a Registered Nurse applicant, you must complete specific training requirements, including child abuse identification and infection control training. You can confirm completion of these requirements on the form by checking the appropriate boxes and providing certificates if necessary.

How do I submit the New York Nurse 1 form?

You must mail the completed New York Nurse 1 form along with the appropriate fee to the New York State Education Department, Office of the Professions. If you are submitting an updated form requested by the Department, send it to the Nurse Unit without any fee. Always ensure that you do not send cash and make checks payable to the New York State Education Department.

1. Inaccurate Name Matching: Applicants often fail to ensure that their name on the application matches exactly with the name on their photo identification and NCLEX application. Any discrepancies can lead to delays in testing authorization.

2. Incomplete Sections: Many individuals neglect to fill out all required sections of the form. Missing information, especially in the education and professional history sections, can result in the application being deemed incomplete.

3. Incorrect Fee Submission: Submitting the wrong fee is a common mistake. The total fee of $143 must include both the application fee and the first registration period fee. Omitting any part can delay the processing of the application.

4. Failure to Notify Changes: Applicants sometimes forget to inform the Division of Professional Licensing Services about any changes to their address or name after submitting the application. This oversight can lead to complications in communication.

5. Notarization Issues: The affidavit section requires notarization. Some applicants overlook this requirement, failing to sign and date the form in the presence of a Notary Public, which can invalidate their application.

The New York Nurse 1 form is an essential document for individuals seeking licensure as a Registered Professional Nurse or Licensed Practical Nurse in New York. Alongside this form, several other documents may be required to complete the application process. Below is a list of commonly used forms and documents that applicants may need to submit in conjunction with the Nurse 1 form.

• Form 3: This form is used for license verification from other states. It is necessary for applicants who hold or have held a nursing license in another state, ensuring that their credentials are valid and up to date.
• Nursys Verification: For applicants from states that report to Nursys, this verification confirms the status of their nursing license. It is crucial for establishing the applicant's professional history.
• CGFNS Record: The Commission on Graduates of Foreign Nursing Schools (CGFNS) provides this record for foreign-educated nurses. It verifies that the applicant's education meets U.S. standards.
• Child Support Certification: This document certifies that the applicant is either current on child support obligations or not under any obligation. It is a requirement for obtaining a professional license in New York.
• Affidavit of Citizenship: Applicants must provide proof of citizenship or legal immigration status. This affidavit ensures compliance with federal laws regarding professional licensure.
• Education Transcripts: Official transcripts from all educational institutions attended must be submitted. This documentation verifies the applicant's educational background and qualifications.
• Child Abuse Identification Certificate: For Registered Nurse applicants, proof of completion of child abuse identification training is required. This training is critical for ensuring the safety of children in healthcare settings.
• Infection Control Training Certificate: This certificate demonstrates that the applicant has completed required infection control training. It is essential for maintaining public health standards in nursing practice.
• Request for Reasonable Testing Accommodations: If applicable, this form is submitted by individuals with disabilities who require special accommodations during testing. It ensures that all candidates have equal opportunities to succeed.
• Criminal Background Check Documentation: Applicants may need to provide documentation related to any criminal background checks. This is essential for ensuring the integrity of the nursing profession.

Each of these documents plays a vital role in the licensure process, helping to establish the qualifications and eligibility of applicants. It is important to carefully review the requirements and ensure that all necessary forms are completed and submitted accurately to avoid delays in the application process.

The New York Nurse 1 form is an important document for individuals seeking licensure as a nurse in New York State. Several other documents serve similar purposes or are part of the licensure process for healthcare professionals. Below is a list of seven documents that share similarities with the New York Nurse 1 form:

• Nurse Form 2: This form is also used in the nursing licensure process and requires additional information about the applicant's education and clinical experience. Like the Nurse 1 form, it must be completed accurately to avoid delays in processing.
• Nurse Form 3: This form is used for license verification and is essential for applicants who hold or have held licenses in other states. It is similar in that it requires detailed information about previous licensure, ensuring that all professional qualifications are properly documented.
• NCLEX Registration: The NCLEX exam registration is necessary for nursing candidates. Similar to the Nurse 1 form, it requires personal information and verification of eligibility to take the exam, ensuring that candidates meet the necessary standards.
• Child Support Certification Form: This form certifies compliance with child support obligations. It parallels the Nurse 1 form in that both require applicants to affirm their legal status and obligations, which can impact their licensure.
• Background Check Authorization Form: This document is often required to conduct a criminal background check. Like the Nurse 1 form, it gathers personal information and ensures that applicants meet the ethical standards expected of licensed professionals.
• Application for Licensure by Endorsement: This application is for individuals who are already licensed in another state and wish to practice in New York. It shares similarities with the Nurse 1 form in terms of the information required and the verification of credentials.
• Continuing Education Documentation: Applicants may need to provide proof of completed continuing education courses. This documentation is similar to the Nurse 1 form as it helps verify that the applicant has maintained their professional knowledge and skills.

When filling out the New York Nurse 1 form, it's important to follow some basic guidelines. Here are seven things you should and shouldn't do:

• Do read the entire form carefully before starting to fill it out.
• Don't leave any required fields blank. Incomplete applications will be delayed.
• Do use black or blue ink when answering questions.
• Don't forget to sign and date the Affidavit in front of a Notary Public.
• Do ensure that your name matches exactly on all documents, including your photo ID and NCLEX application.
• Don't submit cash. Use a check or money order made out to the New York State Education Department.
• Do provide detailed explanations for any "Yes" answers to questions about criminal history or professional misconduct.

Following these tips can help ensure a smoother application process.

• Misconception 1: The Nurse 1 form can be submitted without any fees.

In reality, all applicants must pay a total fee of $143, which includes both the application fee and the registration period fee. This fee is non-refundable, and submitting the form without the appropriate payment will result in delays.

• Misconception 2: Any name discrepancies are acceptable as long as they are minor.

It is crucial that the name on the application matches exactly with the name on your identification and NCLEX application. Any discrepancies can lead to significant delays in testing authorization.

• Misconception 3: Only the application portion of the form needs to be filled out completely.

Every section of the form must be completed. Incomplete applications will be considered invalid and will prolong the licensing process.

• Misconception 4: Notarization is optional for the affidavit section.

The affidavit must be signed in the presence of a Notary Public. Failing to do so will result in the application being deemed incomplete.

• Misconception 5: You can skip the child support obligation section if you do not have children.

All applicants must complete this section, regardless of their parental status. Non-compliance can lead to suspension of professional licenses.

• Misconception 6: Immigration status is not relevant for licensure.

Federal law requires that applicants disclose their citizenship or immigration status. Only U.S. citizens or qualified aliens may be issued a professional license.

• Misconception 7: The form can be submitted electronically.

The Nurse 1 form must be printed, filled out, and mailed to the appropriate address. Electronic submissions are not accepted.

When filling out and using the New York Nurse 1 form, several important points should be considered to ensure a smooth application process. Here are key takeaways:

• Complete the form accurately: All applicants must fill out the form completely and accurately. Missing information can lead to delays in processing.
• Use the correct name: Ensure that the name on the application matches exactly with your photo ID and NCLEX application to avoid testing delays.
• Provide a valid Social Security Number: If you do not have a U.S. Social Security Number, leave that section blank. However, if you do have one, it is required.
• Include the application fee: The total fee for processing the application is $143, which includes both the application and registration fees. This fee is non-refundable.
• Notarization is necessary: The Affidavit section must be signed in front of a Notary Public. This step is crucial for the validity of the application.
• Disclosure of criminal history: Be prepared to provide detailed explanations if you answer "yes" to any questions regarding criminal history or disciplinary actions.
• Child support obligations: Applicants must certify their compliance with child support obligations, as failure to do so can affect the issuance of the license.
• Education details are essential: Complete information about all educational institutions attended is required. Incomplete education sections can lead to application rejection.