Travel Nurse Staffing During Labor Disputes | U.S. Nursing



Please fill out all of the following in Black INK:Application (4 pages) – Send to US NursingProfession Name: Registered NurseProfession Code: 041License Method: EndorsementTemporary Permit Form (1 page) – TP-NUR Sheet (1 page)- Send to US NursingIdentity Verification Certifying Statement (1 page) -OOS-FP Sheet (1 page)You will only fill out Section 1. Section 2 and 3 will be left blank.Take this form, with your printed fingerprint cards (can also be acquired at police station) to police station or local fingerprinting vendor. (2 fingerprint cards are best!)YOUR APPLICATION WILL NOT BE SENT OFF WITHOUT YOUR FINGERPRINT CARDS. MAKE SURE TO ADD A COPY OF YOUR DRIVERS LICENSE! Send fingerprint cards and application to US Nursing.Certification of Education (2 pages) –ED-NUR Sheet (2 pages)- Send form directly to your college/university ORRequest Transcripts to be sent in directly to board and mailed below.Illinois Department of Financial and Professional Regulation ATTN: Division of Professional RegulationP.O. Box 7007 Springfield, IL 62791Verification of Employment (1 page) –Send to your employer – VE Sheet (1 page) Employer should send back to you in sealed envelope. If US Nursing or Fastaff was your most recently employer, please include with application.You/Your employer can send this verifications to:Illinois Department of Financial and Professional Regulation ATTN: Division of Professional RegulationP.O. Box 7007 Springfield, IL 62791Fill out only if applies to you:Verification By Licensing (2 pages) –CT- NUR Sheet (2 pages)You will only need this if you hold a license in a state not covered by Nursys (MI, CA, AL)Health Care Workers Charges With or Convicted of Criminal Acts (1 page)You will only need this if you have ever been convicted or plead guilty to a criminal offense Send to US Nursing with your application ................
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