- REINSTATEMENT-REVOKED LICENSE
GENERAL INFORMATION ON REINSTATEMENT OF A REVOKED/VOLUNTARY SURRENDERED LICENSE
The loss of one’s license to practice nursing is a very serious matter. The Board of
Nursing will reinstate a license only if the applicant can present substantial evidence to
the Board of Nursing that his or her license should be reinstated.
While the Board of Nursing has the authority to reinstate a nursing license, reinstatement
is NOT A RIGHT. The burden of proof rests with the individual to demonstrate his/her
fitness to return to the safe practice of nursing. Issues which may be considered by the
Board are:
- The nature of the Nurse Practice Act violation that led to loss or
denial of the license;
- Whether the factors that led to the loss or denial of the license are
likely to reoccur;
- Whether the individual is currently competent to practice his or her
profession safely and in accordance with the requirements governing such practice;
- The length of time since revocation/relinquishment/denial;
- Whether or not re-licensure would present any undue risk to the
public;
- Evidence of rehabilitation;
- and Continuing education.
A completed application may be accepted in the Board office no sooner
than one year from the date of service of the Board’s Order upon the licensee.
Applications received prior to that date will be returned. Following receipt and review of
your application and supporting materials, you will be contacted and scheduled for a
personal interview. Questions about this process should be directed to the legal division
at (334)
353-8451.
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FREQUENTLY ASKED QUESTIONS:
Q. What do I need to do to reinstate my
license?
R. In order to apply for Reinstatement of a revoked/voluntary
surrendered license, an Application to Reinstate a Nursing License must be completed and
submitted. An applicant must wait a minimum of 1 year from the date of revocation prior to
applying for reinstatement. The Board of Nursing will reinstate a license only if the
licensee can present substantial evidence to the Board of Nursing that his or her license
should be reinstated.
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Q. Do I have to do this
if I voluntarily surrendered my license?
R. Yes, Revocation/Voluntary Surrender is disciplinary action and as
such, reinstatement occurs through the rules for Disciplinary Action.
Q. How much does it cost?
R. The reinstatement fee associated with a revoked license can be found
in the Licensure Chapter of the Administrative Code (610-X-4-.14). The fee is
non-refundable. If the application is approved, the license status will be reinstated to a
“lapsed status.”
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Q. Who should payment be made to?
R. Make checks/money orders payable to Alabama Board of Nursing.
Personal checks must be imprinted with the name, address, and account number of the
applicant. Personal checks by third parties (spouse, friend, parents, etc.) and personal
checks on out-of-state banks are not accepted.
Q. What are my chances of getting my license
reinstated?
R. Applications are reviewed on an individual basis. The Board may
consider the severity of the action that resulted in the revocation, the applicant’s
conduct subsequent to the revocation, the lapse of time since revocation, the
applicant’s compliance with reinstatement requirements stipulated by the Board,
evidence of rehabilitation, and violations of any applicable statute or rule.
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Q. How long does it take?
R. It is not possible to give a specific time line for reinstatement
following revocation. Applications cannot be submitted any sooner than one year of the
revocation. Applications are reviewed in the order they are received. Delays occur when an
incomplete application is submitted. Once a completed application is on file, a
determination will be made regarding the disposition. Disposition may occur informally
through a consent order or formally through an administrative hearing. For informal
disposition, the applicant will be contacted to schedule an interview with the Legal
Division. Should formal disposition be indicated, the applicant will be notified of the
hearing date and time. Following informal or formal disposition, the case is placed on the
agenda of the next scheduled Board meeting for action. Notification of the Board’s
action is sent to the applicant by certified mail the following week.
Q. Do I really have to do all this?
R. The criteria for reinstatement is taken from the Administrative Code
which is the law governing the Board of Nursing. Applications cannot be processed without
all appropriate supporting documentation.
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Q. How do I get my CE’s?
R. You may search for CE providers in your area on the Board’s
website. You may also want to search the Internet.
Q. Where do I find information on
Treatment Providers?
R. A list of Board-recognized treatment providers can be found on the
Board’s website by selecting “Alternative Program.”
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Q. Where do I go for urine drug screens?
R. A minimum of one random
urine drug screen per month is required. Following completion of initial
treatment, urine drug screens must occur randomly on a continuous basis,
for a minimum of 12 months preceding submission of an application. The
screens must also continue while the application is under review. Proof
of the randomness of the urine drug screens and the test results must be
submitted with the application. To enroll in a Board-acceptable program
for random biological fluid testing, contact the FirstLab PHM Department
at 1-800-732-3784.
Additional drug screen
information
Sample
Welcome Letter
FAQ
Application/Payment Form
Payment Options and Procedures
Tips and Reminders
Alabama
Collection Site List
Q. What are the typical reasons an application
is returned?
R. The most frequent reason an application is returned is failure to
submit all appropriate supporting documentation. Specific examples are missed urine drug
screens (reasons/excuses are not accepted), insufficient or invalid CE certificates, lack
of supporting documentation for a “yes” answer, and insufficient affidavits.
Should a name change have occurred, failure to submit appropriate documentation of the
name change will result in return of the application.
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Q. What address do I mail my application to?
R. The completed application should be mailed to:
Alabama Board of Nursing
PO Box 303900
Montgomery, Alabama 36130-3900
INSTRUCTIONS FOR APPLICATION FOR REINSTATEMENT OF A NURSING LICENSE
(Revocation and Voluntary Surrender)
FAILURE TO FOLLOW THESE INSTRUCTIONS WILL RESULT IN YOUR APPLICATION BEING RETURNED.
1. Complete the “APPLICATION FOR REINSTATEMENT OF A NURSING
LICENSE” completely (typewritten or blue or black ink). All documents, including
verifications from other jurisdictions, must be dated no more than 90 days prior to
submission of your application. Application forms are:
Form 1R—Application for Reinstatement of
Nursing License
Form 2R—Authorization to Release Treatment
Records
Form 3R—Verification of Licensure in
Another Jurisdiction
Form 4R—Supporting Affidavit
2. Required attachments are:
a. A Supporting Affidavit (Form 4R) from at least five unrelated
persons, who have direct knowledge of the reasons for the loss or denial of your license
and who can testify to your ability to practice, your character, and your behavior and
conduct since your license was revoked, surrendered, suspended, or denied. All supporting
affidavits must be notarized and submitted along with your application (Form 1R) in
envelopes sealed and signed by the individual.
b. If you are or have ever been licensed in another state or country, a
Verification of Licensure in Another Jurisdiction (Form 3R) must be completed for each
state or country by which you have ever been licensed. Follow the instructions on the form
to make sure the verification is completed properly. The form must be mailed directly from
the licensing authority to the Alabama Board of Nursing.
c. Compliance with continuing education requirements. Twenty-four (24)
contact hours within the preceding twenty-four (24) months of the documented date of
receipt of your application is required prior to consideration for reinstatement of the
RN/LPN license;
d. If you answered “Yes” to question #9 in Part B of the
Application (Form 1R), an Authorization to Release Treatment Records (Form 2R) must be
completed and submitted along with your application.
Additionally, if the license to practice nursing was revoked/relinquished due to
drug/alcohol-related matters, the Board requires evidence of the following:
(1) Completion of a Board-recognized treatment program with Board
consultation with the provider prior to evaluation. Submit a copy of the Admission and
Discharge Summaries and a statement from the treating practitioner/facility regarding your
current diagnosis and prognosis, including your ability to resume the practice of nursing,
and an executed release from each practitioner or facility (Form 2R);
(2) Participation in a Board acceptable aftercare program. Submit
supporting documentation from the program;
(3) Participation in a 12-step program. Submit supporting documentation
of meeting attendance and a statement from your sponsor;
(4) Following completion of initial treatment, documented evidence of
being drug-free for a minimum of twelve (12) consecutive months prior to the documented
date of receipt of your application. A minimum of one random urine drug screen per month
through a Board-acceptable program for random biological fluid testing is required.
Continue with random monthly urine drug screens after submission of the application until
you are notified that they are no longer required;
(5) A current evaluative report from a Board acceptable substance-abuse
counselor/therapist, if applicable, with Board consultation with the provider prior to the
evaluation;
(6) Submission of a letter of verification from the prescribing
physician if you are currently taking any prescribed medications or over the counter
medications with mood-altering effects or have done so on a regular basis within the past
two (2) years. The letter must describe the condition for which such medication is being
prescribed, the expected duration of treatment, and the physician’s knowledge of your
history of drug use/abuse/misuse/chemical dependency;
(7) a chemical dependency evaluation performed by a Board-recognized
treatment provider may also be required.
3. You may also include a short, typed personal statement with your
application.
4. Sign the application in the presence of a Notary Public and have the
notary seal affixed.
5. Enclose the applicable non-refundable fee made payable to the Alabama
Board of Nursing (payable by money order, cashiers check or a personal check).
6. Mail the application and fee to Alabama Board of Nursing, P.O. Box
303900, Montgomery, Alabama 36130-3900.
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