Wyoming State Board of Nursing: Forms

Forms in PDF format are indicated as such.

The Wyoming Board of Nursing does not accept cash or personal checks. Any forms requiring processing fees must be paid by certified check, money order, VISA or MasterCard.

Advisory Opinion Request Form (PDF)
CNA Out of State Verification of Certification (PDF)
Complaint Form (PDF)
Lost License or Certificate Form: Replacement of License or Certificate(PDF)
Mailing List Order Form (PDF)
Name Change Affidavit Form: Change of Name(PDF)
RN/LPN Out of State Verification of Licensure 2005 (PDF)
Visa/Mastercard Payment Form & Information Sheet (PDF)

**Important Note** Applications for licensure or certification are presently not available on our website because of our criminal background check requirement. To request a packet for licensure or certification, please contact the Board office at 307-777-7601 or by email at wynursing@state.wy.us

PDF-Portable Document Format

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