Healthy Communities

ARSBN - LPTN Endorsed

Licensure by endorsement application is for a nurse who holds an LPTN license in another state and is applying for licensure in Arkansas for the same license type; has no previous Arkansas LPTN license. LPTN applicants are accepted from Kansas and California only.

It is NOT an application for new graduates that wish to apply for initial licensure by examination. It is NOT an application for for endorsement of another license type (LPN, RN) or renewal of an Arkansas license.

The information contained herein is designed to assist you with information you need to begin the application process. Read the instructions and provide all required documentation. Additional instructions are located within the online system as you progress through the application process.

General Instructions

The following 1 – 5 is required:

1. Application for Licensure by LPTN Endorsement Information

ASBN Application

Declaration of Primary State of Residence

a) driver’s license with a home address;
b) federal income tax return with a primary state of residence declaration;
c) voter registration card with a home address;
d) military form no. 2058 (state of legal residence certificate); or
e) W2 form from the United States government or any bureau, division, or agency thereof, indicating residence.

2. Fee Information

3. License Verification Information

4. Verification of Employment Information

a. Completion of an Arkansas board approved refresher course within one (1) year of the date of application; or
b. Graduation from an approved nursing education program within one year of the date of application; and
c. Provide other evidence as requested by the Board.

5. Criminal Background Check Information

6. Temporary Permit Information

CLICK HERE TO GO TO ARKANSAS NURSE PORTAL TO SUBMIT APPLICATION

Public Health Accrediation Board
Arkansas Department of Health
© 2017 Arkansas Department of Health. All Rights Reserved. www.healthy.arkansas.gov
4815 W. Markham, Little Rock, AR 72205-3867
1-800-462-0599