Application Instructions
Application Instructions
eLicense.Ohio.gov
(/OH_Home_Auth)
Online Reinstatement/Reactivation Instructions for a
Registered Nurse (RN)
Standard Board Level Instructions
BEFORE CONTINUING - PLEASE VERIFY THAT YOUR NAME IS DISPLAYED IN THE UPPER RIGHTHAND
CORNER OF THIS PAGE. IF YOU SEE A NAME OTHER THAN YOUR OWN, PLEASE CONTACT THE
BOARD AT RENEW[email protected] FOR ASSISTANCE.
Welcome to the Ohio Board of Nursing!
Please have the following information available:
1. Complete address information. You will be asked to verify or update the mailing address. You are required by
law to provide the Board with a valid address where all communication from the Board will be sent.
2. Your Social Security Number if you have obtained a new Social Security Number since your last renewal.
3. Your email address is required for maintaining your online account and payment confirmation.
4. A valid credit card (Visa, MasterCard or Discover).
CONTINUING EDUCATION (CE)
You must maintain continuing education documentation in the form of a certificate issued by the provider, or a
school transcript that was completed during the twenty-four month period immediately before the application
date. CE must include One (1) contact hour Category A (directly related to Ohio law & rules). Category A must
be approved by an OBN Approver,
or offered by an OBN approved provider unit headquartered in the state of
Ohio. See below for CE requirements:
Lapsed license for less than two (2) years, or holds a current, valid license in another state
1 Contact Hour - Category A (Ohio Law & Rules).
23 Contact Hours - Relevant to nursing practice.
RN Reactivation and Reinstatement Application
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Application Instructions
Lapsed license for two (2) or more years, and does not hold a current, valid license in another state
2 Contact Hours - Category A (Ohio Law & Rules).
6 Contact Hours - Application of the nursing process and critical thinking; clinical reasoning or nursing
judgment related to patient care. Examples include courses covering assessment, treatment of specific
conditions, evidenced-based practice and research.
6 Contact Hours - Pharmacology which includes, but is not limited to, drug classifications, medication
errors, and patient safety. Other examples include courses covering medication administration, pain
management and pharmacologic management of specific conditions.
2 Contact Hours - Clinical or organizational ethical principles in health care. Examples include courses
covering end of life, confidentiality and legal medical issues.
8 Contact Hours - Relevant to nursing practice.
CRIMINAL RECORDS CHECK
BCI (civilian) and FBI (federal) background checks are required if your RN license has been lapsed 5 or more
years. Refer to the website for more information. http://nursing.ohio.gov/wp-
content/uploads/2019/07/CRC_Process.pdf (http://nursing.ohio.gov/wp-
content/uploads/2019/07/CRC_Process.pdf)
FEE
A fee must accompany this application and will be processed electronically.
APPLICATION PROCESSING
Your license is not considered reinstated until your online application and fee are received and processed by the
Board. You cannot practice nursing in Ohio without a current, valid Ohio nursing license.
SOCIAL SECURITY NUMBER
Your social security number is required by state and federal law for purposes of child support enforcement (ORC
3123.50, 42 U.S.C. Section 666), reporting to the National Practitioner Data Bank (Public Law 100-93, Sec.
1921 of the Social Security Act, as amended; 45 C.F.R. pt. 60); reporting to law enforcement authorities for
investigative/law enforcement purposes in compliance with ORC 4723.28, reporting to the National Council of
State Boards of Nursing for state board investigative purposes, and/or as otherwise required by state and
federal law.
Eligibility
By answering the following questions, eligibility for the license application will be determined. Confirmation will
be noted if eligibility is met.
I have completed the necessary CE requirements to reinstate/reactivate my license. (For CE requirements,
please refer to the Board's website. (https://nursing.ohio.gov/wp-
content/uploads/2020/10/OhioBoardCE.pdf))
Yes No
PROCEED TO APPLICATION
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License Reinstatement & Reactivation Application
TESTING ENVIRONMENT - NOT FOR PUBLIC USE
License Reinstatement & Reactivation
Application
Personal Information
eLicense.Ohio.gov
(/OH_Home_Auth)
Personal Information
Provide the necessary personal information in the fields to the right. All fields with (*) are required and must be
completed to continue the application process.
Demographic and workforce data collected for some licensed healthcare professions is used to enhance the
state’s capacity for healthcare workforce forecasting, policy development, and research. This data is used to
analyze the supply and demand of the healthcare workforce serving Ohio.
Title
*
First Name
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License Reinstatement & Reactivation Application
Middle Name
*
Last Name
Maiden Name
Social Security Number
*
*
Date of Birth
Email Address
*
*
Phone Number
Other Phone Number
United States Citizen
*
Citizenship
Chosen
Please scroll through the language options under the Available column, highlight your choice(s) and
click the right arrow (>) to move your choice(s) over to the Chosen column.
Available
English
Afrikaans
Arabic
Armenian
*
List languages you personally use to communicate with patients excluding an interpreter or software
Individual National Provider Identifier - if not applicable leave blank
*
Enter home US zip-code.Enter NA if unavailable
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Additional Information
Provide the necessary additional information in the fields to the right. All fields with (*) are required and must be
completed to continue the application process.
Do you have other aliases?
*
What is your gender?
*
What is your ethnicity?
*
In which country were you born?
In which state were you born (if United States)?
*
In which city were you born?
Employment Status
Demographic and workforce data collected for some licensed healthcare professions is used to enhance the
state’s capacity for healthcare workforce forecasting, policy development, and research. This data is used to
analyze the supply and demand of the healthcare workforce serving Ohio. Some questions may appear to be
duplicative.
--None--
*
What is your primary employment status?
--None--
*
Which of the following best describes your five-year employment plan?
--None--
*
Are you currently employed outside of USA?
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License Mailing Address
Select a license mailing address by clicking the appropriate checkbox to the right (this is the address used for all
postal communications from the Board for this license). To add a new address, click Add Address, complete the
required fields, and click Save.
ADDRESS SAVED SUCCESSFULLY
USE DIFFERENT ADDRESS
✏
Military Service
If you have served in the military, provide the information for the type of service and duration of service in order
to be eligible for expedited processing and other options. You may be required to submit documentation of
military status.
*
Have you served in the military?
If you answered "Yes", are you currently serving in the military?
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--None--
*
*
Has your spouse served in the military?
--None--
*
If you answered "Yes", are they currently serving in the military?
I decline to Answer these questions and I understand by not answering,
I may not receive expedited/priority licensing service, temporary licensure,
extended time allowances, or a waiver of fees, if applicable,
for me or my eligible spouse.
Ohio Department of Veterans Services
(http://dvs.ohio.gov/main/home.html)
OhioMeansJobs
(https://jobseeker.ohiomeansjobs.monster.com/Veterans/VeteranInfo.aspx)
SUPPORT
(OH_SUPPORTPAGE)
REGISTRATION GUIDE
(/SERVLET/SERVLET.FILEDOWNLOAD?FILE=015T0000000UG2L)
CONTACT
(OH_CONTACTUS)
PRIVACY NOTICE
(OH_PRIVACYNOTICE)
WWW.OHIO.GOV
(HTTP://WWW.OHIO.GOV)
GENERAL TERMS
(OH_GENERALTERMS)
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License Reinstatement & Reactivation
Application
Background
eLicense.Ohio.gov
(/OH_Home_Auth)
Employment History
To add an entry to your employment history, click the Add Work History button. Complete the information fields
and click Save. Repeat this process for all employment entries. All fields marked with (*) are required.
*
Employer or Non-Working Activity
*
Job Title
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Current
*
Start Date
*
End Date
Average Hours/Week
*
Street Address
*
City
--None--
State
*
Zip/Postal Code
County
United States
*
Country
Email
Work Phone
% Clinical or Environmental
% Other
% Admin
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Supervisor Name
Supervisor Phone Number
CANCEL
ADD
Current Employment Location(s)
Please provide the following information for all practice sites where you use this license, beginning with the
locations in which you spend most of your time. If you are not actively working or volunteering in a position that
requires this license (e.g. student or recent graduate) employment location information is optional. Employment
location information helps improve the accuracy and efficiency of Health Professional Shortage Area
Designations and enables Ohio to identify healthcare workforce distribution. Some questions may appear to be
duplicative.
After your Employment Location data has been entered please click the SAVE EMPLOYMENT LOCATION
button before Saving and Continuing.
*
Name of Practice Site
--None--
*
Practice Settings
*
Street Address
*
City
OH
*
State
*
Zip/Postal Code
County
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--None--
*
Major area of focus or speciality at this practice site
*
Total hours worked at this practice site, per week
Percent of time spent per week in each of the following at this practice site:
Direct Patient Care
Teaching/Academic
Research
Professional Services
Administrative Activities
Other
Total Percentage
--None--
*
Do you have hospital admitting privileges for patients from this practice site?
--None--
*
Which of the following best describes your current employment arrangement?
Is this an intern/resident position?
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--None--
*
--None--
*
Are you employed as a federal employee at this practice site?
--None--
*
Are you accepting new patients at this practice site?
CANCEL
SAVE EMPLOYMENT LOCATION
SUPPORT (OH_SUPPORTPAGE)
REGISTRATION GUIDE (/SERVLET/SERVLET.FILEDOWNLOAD?FILE=015T0000000UG2L)
CONTACT (OH_CONTACTUS)
PRIVACY NOTICE (OH_PRIVACYNOTICE)
WWW.OHIO.GOV (HTTP://WWW.OHIO.GOV)
GENERAL TERMS (OH_GENERALTERMS)
2021
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License Reinstatement & Reactivation
Application
Questions
eLicense.Ohio.gov
(/OH_Home_Auth)
Questions
Answer the following questions. Once completed, click “Save and Continue” to progress through the
application.
Have you practiced in Ohio since your license/certificate was inactive or lapsed?
Yes No
I am a U.S. Citizen or lawfully admitted into the U.S.
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Yes No
Since your last application or renewal have you changed or obtained a new Social Security Number?
Yes No
By answering "yes" to certain questions below, you are required to provide a written explanation and upload supporting
documentation with the application. In the section of this application labeled "Attachments," please upload and attach the necessary
documentation, referred to as "Compliance Supporting Document," for each question to which you respond "yes." Your application
shall remain incomplete unless and until all necessary documents are received.
This question applies to any felony in Ohio, another state, commonwealth, territory, province, or country. This includes crimes that
have been expunged IF there is a direct and substantial relationship to nursing practice. Since you filed your last renewal
application, or if this is your first renewal since the date you filed your original license application, have you been convicted of, found
guilty of, pled guilty to, pled no contest to, pled not guilty by reason of insanity to, entered an Alford plea, received treatment or
intervention in lieu of conviction, or been found eligible for pretrial diversion or a similar program for a felony?
Yes No
This question applies to any misdemeanor in Ohio, another state, commonwealth, territory, province, or country. This includes
crimes that have been expunged IF there is a direct and substantial relationship to nursing practice. This does not include traffic
violations unless they are DUI/OVI or Physical Control While Under the Influence. Since you filed your last renewal application, or if
this is your first renewal since the date you filed your original license application, have you been convicted of, found guilty of, pled
guilty to, pled no contest to, pled not guilty by reason of insanity to, entered an Alford plea, received treatment or intervention in
lieu of conviction, or been found eligible for pretrial diversion or a similar program for a misdemeanor?
Yes No
Since you filed your last renewal application, or if this is your first renewal since the date you filed your original license application,
with the exception of the Ohio Board of Nursing, has any board, bureau, department, or agency in any way limited, restricted,
suspended, or revoked any professional license, certificate, or registration granted to you; placed you on probation; or imposed a
fine, censure, or reprimand against you? Have you voluntarily surrendered, resigned, or otherwise forfeited any professional
license, certificate, or registration?
Yes No
Since you filed your last renewal application, or if this is your first renewal since the date you filed your original license application,
with the exception of the Ohio Board of Nursing, have you for any reason, been denied an application, issuance, or renewal for
licensure, certification, registration, or the privilege of taking an examination, in any state, commonwealth, territory, province, or
country?
Yes No
Since you filed your last renewal application, or if this is your first renewal since the date you filed your original license application,
with the exception of the Ohio Board of Nursing, have you entered into an agreement of any kind, whether oral or written, with
2021
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respect to a professional license, certificate, or registration in lieu of or in order to avoid formal disciplinary action, with any board,
bureau, department, agency, or other body?
Yes No
Since you filed your last renewal application, or if this is your first renewal since the date you filed your original license application,
with the exception of the Ohio Board of Nursing, have you been notified of any current investigation of you, or have you been
notified of any formal charges, allegations, or complaints filed against you by any board, bureau, department, agency, or other
body, with respect to a professional license, certificate, or registration?
Yes No
Since you filed your last renewal application, or if this is your first renewal since the date you filed your original license application,
have you been found to be a mentally ill person subject to hospitalization by court order, been found to be mentally incompetent
by a probate court, or been found incompetent to stand trial by a court?
Yes No
Are you required to register, under Ohio law, the law of another state, the U.S., or a foreign country, as a sex offender?
Yes No
Since you filed your last renewal application, or if this is your first renewal since the date you filed your original license application,
have you been addicted to, dependent on, diagnosed with addiction, dependence or substance use disorder related to, or treated
for addiction, abuse, dependence or substance disorder related to your use of alcohol or any chemical substance; or have you
used any drugs that are illegal or were prescription drugs used by you without a legal, valid prescription?
Yes No
SUPPORT (OH_SUPPORTPAGE)
REGISTRATION GUIDE (/SERVLET/SERVLET.FILEDOWNLOAD?FILE=015T0000000UG2L)
CONTACT (OH_CONTACTUS)
PRIVACY NOTICE (OH_PRIVACYNOTICE) WWW.OHIO.GOV (HTTP://WWW.OHIO.GOV) GENERAL
TERMS (OH_GENERALTERMS)
2021
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License Reinstatement & Reactivation Application
License Reinstatement & Reactivation
Application
Attachments
eLicense.Ohio.gov
(/OH_Home_Auth)
Attachments
If applicable, upload the Attachments for your license application by clicking the Add Attachment button(s). If
uploading an attachment, the name of the file attachment must be less than 80 characters in length for it to be
received successfully. The character limit includes the file attachment extension, such as (.doc) and (.pdf). The
(.exe) and (.html) file extensions are not supported for submissions. For documentation that needs to be
submitted directly to the Board or by hardcopy, please acknowledge by clicking the Attest button(s). If no
attachment or attestation items appear, please click the Save and Continue button.
Continuing Education Documentation
I attest that I have met the Continuing Education (CE) requirements for reinstatement or reactivation of my nursing license and
will retain documentation of the CE for a minimum period of six years.
2021
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SAVE & FINISH LATER
SAVE AND CONTINUE
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ATTEST
SUPPORT (OH_SUPPORTPAGE)
REGISTRATION GUIDE (/SERVLET/SERVLET.FILEDOWNLOAD?FILE=015T0000000UG2L)
CONTACT (OH_CONTACTUS)
PRIVACY NOTICE (OH_PRIVACYNOTICE)
WWW.OHIO.GOV (HTTP://WWW.OHIO.GOV)
GENERAL TERMS (OH_GENERALTERMS)
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License Reinstatement & Reactivation Application
I attest that I understand all of the fees required and paid by me in order to submit this application are non-refundable.
I verify that all information provided is true and accurate. I am aware that misrepresentation on this application may result in disciplinary
action in accordance with 4723.28, ORC.
Consent to Electronic Signature
Type your First Name and Last Name as they appear on the application to sign electronically.
I accept
Submit your Application
After clicking the ‘Submit’ button below, you will no longer be able to change this application. PLEASE DO NOT USE
THE BROWSER'S BACK BUTTON AS THAT MAY OVERWRITE YOUR DATA. If you want to return to your
application, simply log out and log back in.
If this application requires payment you will be prompted to begin the payment process. You must complete the payme
process before the board will review your application. If this application does not require payment, you will be navigated
back to the eLicense home page and the board will review your application.
SAVE & FINISH LATER
SUBMIT
SUPPORT (OH_SUPPORTPAGE)
REGISTRATION GUIDE (/SERVLET/SERVLET.FILEDOWNLOAD?FILE=015T0000000UG2L) CONTACT (OH_CONTACTUS)
PRIVACY NOTICE (OH_PRIVACYNOTICE)
WWW.OHIO.GOV (HTTP://WWW.OHIO.GOV)
GENERAL TERMS (OH_GENERALTERMS)
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