REGULATIONS
Vol. 37 Iss. 13 - February 15, 2021

TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSING
BOARD OF NURSING
Chapter 30
Forms

REGISTRAR'S NOTICE: Forms used in administering the regulation have been filed by the agency. The forms are not being published; however, online users of this issue of the Virginia Register of Regulations may click on the name of a form with a hyperlink to access it. The forms are also available from the agency contact or may be viewed at the Office of the Registrar of Regulations, 900 East Main Street, 11th Floor, Richmond, Virginia 23219.

Title of Regulation: 18VAC90-30. Regulations Governing the Licensure of Nurse Practitioners.

Effective Date: February 15, 2021.

Agency Contact: Elaine J. Yeatts, Agency Regulatory Coordinator, Board of Nursing, 9960 Mayland Drive, Suite 300, Richmond, VA 23233, telephone (804) 367-4688, or email elaine.yeatts@dhp.virginia.gov.

Summary of Public Comments and Agency's Response: No public comments were received by the promulgating agency.

FORMS (18VAC90-30)

Instructions for Licensure -- Nurse Practitioner (rev. 2/2009)

Application for Licensure as a Nurse Practitioner (rev. 6/2011)

Application for Reinstatement of License as a Nurse Practitioner (rev. 6/2011)

License Verification Form (rev. 7/2007)

Application for Restricted Volunteer License (eff. 7/2015)

Application for Licensure as a Nurse Practitioner, available online at https://www.dhp.virginia.gov/Boards/Nursing/PractitionerResources/Forms/

Checklist Instructions: Application for Licensure - Nurse Practitioner (LNP) (rev. 7/2020)

Instructions: Application – Attestation/Authorization for Autonomous Practice – Licensed Nurse Practitioner (LNP) (rev. 1/2019)

Checklist Instructions Reinstatement Application (rev. 8/2018)

Checklist Instructions for Reinstatement Application Following Suspension or Revocation (rev. 8/2018)

Checklist Instructions Application for Restricted Volunteer License (rev. 8/2018)

VA.R. Doc. No. R21-6652; Filed January 24, 2021