Verification of Registration and Licensure Form

After you submit this form and payment, we will issue to the regulatory body of your choice a letter confirming that you currently or previously held registration and licensure with NSCN. This letter is only sent to other regulatory bodies.

Typically, this letter is used when you want to register or license in another province or state.

Fees are in Canadian funds, includes the Harmonized Sales Tax (HST), and must accompany your form. We will complete this request within 15 business days once we receive both the form and payment.

If you want to have a verification letter sent to multiple regulatory bodies, please insert the address of each regulatory body into the “Address of Regulatory Body to Receive Verification” field on the form.

If you have any questions, reach out to us at registration@nscn.ca. We will respond within five business days.

Name

First Name

Middle Name

Last Name

Previous Surname

maiden/birth name

Email Address

Telephone

Date of Birth

Nursing Designation

Registration Number

Registration Number Not Known

School of Nursing

Year of Graduation

Will you be sending a form to NSCN to be attached?

Yes

YOU CAN FORWARD ANY FORMS TO REGISTRATION@NSCN.CA OR VIA FAX AT 902-377-5188.

Name and Address of Regulatory Body to receive Verification

IF YOU NEED VERIFICATION FOR MORE THAN ONE REGULATORY BODY, THEN PLEASE INCLUDE ALL ADDRESSES TO RECEIVE VERIFICATION.

Fee
Price: $57.50