DPH: Reinstatement of a Lapsed License

Reinstatement of a Lapsed License

 

Before applying for licensure, please familiarize yourself with the general licensing policies.

 

In order to hold and maintain an APRN license, an applicant must also hold and maintain a Connecticut registered nurse license.

 
In order to reinstate a license that has lapsed due to nonrenewal, an applicant must arrange for the submission of the following:
 

A completed application form and fee of $200.00 in the form of a bank check or money order (no personal checks will be accepted), payable to, Treasurer, State of Connecticut”;

 

A brief written summary of professional activities since graduation from nursing school, to include work history, positions, dates, duties, any lapses in active practice as a nurse, and if not currently practicing as an advanced practice registered nurse, an explanation of your plans for employment and description of how you intend to refresh your nursing skills; 

 

A letter submitted directly to this office from the appropriate authority verifying your most recent nursing experience confirming your employment, including dates and evaluation of clinical performance;

Verification of current certification as a nurse practitioner, clinical nurse specialist, or nurse anesthetist submitted direclty to this office from one of the following national organizations:

The American Nurses' Association;

The National Certification Corporation for the Obstetric, Gynecologic and Neonatal Nursing Specialties;

The National Certification Board of Pediatric Nurse Practitioners and Nurses;

The American Association of Nurse Anesthetists ;

The American Academy of Nurse Practitioners;

The Oncology Nursing Certification Corporation; or

The American Association of Critical-Care Nurses CCNS certification;  

This office can obtain verification of AANA certification online.  Please provide your certification number in the space provided on the application.

 

Verification of all licenses held, current or expired forwarded directly from the appropriate authority in any U.S. state, territory or Canadian province in which the applicant is or has ever been licensed as a nurse practitioner.  Most jurisdictions charge a fee for completion of the verification form.   Please contact the jurisdiction for fee information.

 

Reinstatement applications from APRNs who have been out of the active, clinical practice for longer than three years may be required to complete a period of retraining under the supervision of a Connecticut licensed physician or APRN.  Information will be provided to applicants in this situation at such time as an application is received.

 

All supporting documentation should be sent directly from the source to:

 

Connecticut Department of Public Health

APRN Licensure

410 Capitol Ave., MS# 12 APP

P.O. Box 340308

Hartford, CT 06134

Phone:  (860) 509-7603

Fax: (860) 707-1981

Email:  dph.nursingteam@ct.gov





Content Last Modified on 6/30/2014 12:07:45 PM