12. Provide written verication of licensure in good standing from the state in which you were
originally licensed, or are currently licensed, and from every state in which you have ever
been licensed. The verication shall be forwarded directly to the New Jersey Board of
Nursing from the applicable state board(s), if those state(s) are not listed on the NURSYS
License Verication Form.
13. Submit a personal check or money order in the amount of $200.00 made payable to the
New Jersey Board of Nursing. ($120.00 license fee, $75.00 nonrefundable application fee,
and $5.00 mandatory nonrefundable Alternative to Discipline fee.)
14. Submit the completed “Checklist for Endorsement,” with your signature on the bottom.
ONLINE APPLICATION INSTRUCTIONS
1. Go to www.njconsumeraffairs.gov/Pages/onlinelicenses.aspx and submit an online
application with payment made by credit card. ($120.00 license fee, $75.00 nonrefundable
application fee, and $5.00 mandatory nonrefundable Alternative to Discipline fee.) Print
your receipt.
2. Submit a clear, full-face original passport photograph (2” x 2”) of your head and shoulders
taken within the past six months. Sign your name on the back of the picture. (Photocopies
and seles are not acceptable.)
3. If you are a U.S.-born citizen, please submit a copy of your birth certicate or U.S. passport.
4. If you are a naturalized U.S. citizen, please submit a copy of your U.S. passport or certicate
of naturalization.
5. If you are a legal alien or other immigration status, please submit your USCIS immigration
documents. (Submit a copy of both the front and the back of your card.)
6. Submit proof of a legal name change (i.e., marriage license, divorce decree, court order, if
applicable) if your name differs from that on your birth certicate.
7. Carefully read and check the attestation at the end of the application granting the Board
authorization to conduct a criminal history background check.
8. If you live outside the metropolitan New Jersey area, please go to:
www.njconsumeraffairs.gov/nur/Pages/Fingerprint-Request.aspx and request
ngerprint cards. Complete the Morpho Trust universal form and two (2) ngerprint cards,
one black (New Jersey), and one blue (F.B.I.). Submit a check or money order in the
amount of $58.69 made payable to Morpho Trust.
9. If you live in the metropolitan New Jersey area, you will receive digital ngerprint
information via regular mail. Please schedule your appointment as soon as possible.
10. Submit criminal history documents (if applicable).
11. Provide written verication of licensure in good standing from the state in which you were
originally licensed, or are currently licensed, and from every state in which you have ever
been licensed. The verication must be forwarded directly to the New Jersey Board of
Nursing from the applicable state board(s), if those state(s) are not listed on the NURSYS
License Verication Form.
12. Submit a copy of your receipt, signed at the bottom.