Current through all regulations passed and filed through September 16, 2024
[Comment: Information regarding the availability and effective
date of the materials incorporated by reference in agency 4723 of the
Administrative Code can be found in paragraph (G) of this rule.]
(A) The board shall maintain a record of all
applicants for, and holders of, licenses and certificates issued by the board
under Chapter 4723. of the Revised Code and any rules adopted under that
chapter, in the format determined by the board.
(B) A change in name shall be submitted to
the board electronically through the individual's eLicense account by
submitting a name change service request within thirty days of the change. The
request shall be accompanied by an uploaded certified copy of one of the
following documents:
(1) A marriage
certificate or abstract;
(2) A
dissolution or divorce decree;
(3)
A court record indicating a change of name; or
(4) Documentation of a change in name
consistent with the laws of the jurisdiction or foreign country where the name
change occurred.
(C) A
notification of a change in address shall be submitted in writing or
electronically, by the licensee or certificate holder to the board within
thirty days of the change.
(D)
Documents submitted to the board may be returned at the discretion of the
board.
(E) Wall certificates or
other documents issued by the board as evidence of licensure, certification, or
other authorization to practice shall not be falsified or altered.
(F) For purposes of Chapters 4723-1 to
4723-27 of the Administrative Code, when an applicant for licensure or
certification, or renewal, reactivation or reinstatement of licensure or
certification, submits a criminal records check completed by the bureau of
criminal identification and investigation, the board shall consider the records
check information to be valid for a period of one year from the date the
information was received by the board. This provision shall not apply to
criminal records checks required to be obtained according to the terms of board
adjudication orders or consent agreements.
(G) Incorporated materials:
(1) "Advanced Practice Registered Nurse
Application Certified Nurse Midwife," dated 2021, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(2) "Advanced Practice Registered Nurse
Application Certified Nurse Practitioner," dated 2021, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(3) "Advanced Practice Registered Nurse
Application Certified Registered Nurse Anesthetist," dated 2021, may be
obtained at
http://www.nursing.ohio.gov/forms.htm;
(4) "Advanced Practice Registered Nurse
Application Clinical Nurse Specialist," dated 2021, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(5) "Advanced Practice Registered Nurse
License Reactivation and Reinstatement Application," dated 2019, may be
obtained at
http://www.nursing.ohio.gov/forms.htm;
(6) "Alternative Program for Substance Use
Disorder Admission Application," dated 2019, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(7) "Application for Initial
Approval/Reapproval of a Testing Organization that Conducts an Examination of
Dialysis Technicians," dated 2020, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(8)
"Certified Registered Nurse Anesthetist Renewal Application," dated 2021, may
be obtained at
http://www.nursing.ohio.gov/forms.htm;
(9)
"Certified Nurse Midwife Renewal Application," dated 2021, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(10)
"Certified Nurse Practitioner Renewal Application," dated 2021, may be obtained
at
http://www.nursing.ohio.gov/forms.htm;
(11)
"Clinical Nurse Specialist Renewal Application," dated 2021, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(12)
"Community Health Worker Application," dated 2021, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(13)
"Community Health Worker Reactivation and Reinstatement Application," dated
2019, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(14)
"Community Health Worker Renewal Application," dated 2019, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(15)
"Community Health Worker Training Program Approval Application," dated 2021,
may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(16)
"Community Health Worker Training Program Re-Approval Application," dated 2019,
may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(17)
"Dialysis Technician Application," dated 2019, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(18)
"Dialysis Technician Reactivation and Reinstatement Application," dated 2017,
may obtained at
http://www.nursing.ohio.gov/forms.htm;
(19)
"Dialysis Technician Renewal Application," dated 2017, may obtained at
http://www.nursing.ohio.gov/forms.htm;
(20)
"Dialysis Technician Training Program Application for Initial Board Approval,"
dated 2018, may be obtained at may obtained at
http://www.nursing.ohio.gov/forms.htm;
(21)
"Dialysis Technician Training Program Re-Approval Application," dated 2018, may
be obtained at may obtained at
http://www.nursing.ohio.gov/forms.htm;
(22)
"Education Program PN Annual Report Form," dated 2022, for licensed practical
nursing education programs, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(23)
"Education Program RN Annual Report Form," dated 2022, for registered nursing
education programs, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(24)
"Education Program PN Presurvey Visit Report Form," dated 2017, for licensed
practical nursing education programs may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(25)
"Education Program RN Presurvey Visit Report Form," dated 2017, for registered
nursing education programs, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(26)
"LPN Reactivation and Reinstatement Application," dated 2021, may be obtained
at
http://www.nursing.ohio.gov/forms.htm;
(27)
"LPN Renewal Application," dated 2020, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(28)
"Medication Aide Application," dated 2017, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(29)
"Medication Aide Reactivation and Reinstatement Application," dated 2016, may
be obtained at
http://www.nursing.ohio.gov/forms.htm;
(30)
"Medication Aide Renewal Application," dated 2016, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(31)
"Medication Aide Training Program Application," dated 2021, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(32)
"Medication Aide Training Program Re-Approval Application," dated 2021, may be
obtained at
http://www.nursing.ohio.gov/forms.htm;
(33)
"Nursing Licensure by Endorsement Application," dated 2016, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(34)
"NEGP Annual Report Year 1," dated 2022, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(35)
"NEGP Annual Report Year 2," dated 2022, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(36)
"NEGP Quarterly Progress Report," dated 2019, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(37)
"NEGP RFP," dated 2021, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(38)
"Nursing Licensure by Endorsement Application, LPN" dated 2021, may be obtained
at
http://www.nursing.ohio.gov/forms.htm;
(39)
"Nursing Licensure by Endorsement Application, RN" dated 2021, may be obtained
at
http://www.nursing.ohio.gov/forms.htm;
(40)
"Nursing Licensure by Examination Application, LPN," dated 2021, may be
obtained at
http://www.nursing.ohio.gov/forms.htm;
(41)
"Nursing Licensure by Examination Application, RN," dated 2021, may be obtained
at
http://www.nursing.ohio.gov/forms.htm;
(42)
"OBN Approver Application," dated 2019, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(43)
"PN New Program Proposal Application," dated 2017, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(44)
"RN New Education Program Proposal Application," dated 2017, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(45)
"RN Reactivation and Reinstatement Application," dated 2016, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(46)
"RN Renewal Application," dated 2021, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(47)
"Verification Form Organizations Certifying Advanced Practice Registered
Nurses: Certified Nurse Midwives (CNMs), Certified Nurse Practitioners (CNPs),
Clinical Nurse Specialists (CNSs), and Certified Registered Nurse Anesthetists
(CRNAs)," dated 2020, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(48)
"Volunteer's Certificate Application," dated 2016, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(49)
"Volunteer's Certificate Reactivation and Reinstatement Application," dated
2016, may be obtained at
http://www.nursing.ohio.gov/forms.htm;
(50)
"Volunteer's Certificate Renewal Application," dated 2016, may be obtained at
http://www.nursing.ohio.gov/forms.htm.
