Between now and March 11, 2019 all our licensing forms (paper and online) have been removed due to the update of the RN Board's license tracking system. After the update is complete the links to the forms will be posted.

Renewal season ended on 10/31/2018 - if you have not renewed your license, it will have lapsed and you will need to fill out an Online RN License Reinstatement form. To confirm, check the Verification link at the top of the page to see if you have lapsed.

Your APRN license depends on your RN license to be active. If your RN license has lapsed then your APRN license has inactivated. If you are on this list you will need to reinstate your RN license and also your APRN license, and, if applicable, your RXA privilege as well.
porary 90-day license ONLY, non-renewable, no permanent license)

Prescriptive Authority forms

Collaborative Agreement Form

Dissolvement of Collaborative Agreement

Guidelines for Completing Collaborative Agreement Form

Dialysis Tech Forms

Dialysis Tech Initial and Endorsement Application

Dialysis Tech Reinstatement Form

Dialysis Tech Applicant Employment Certification Form

Dialysis Tech Applicant Good Moral Character Certification Form

Dialysis Tech Applicant Program Administrator Competency Form

Other Forms

Lost or Duplicate License

APRN Verification Form
(Use this form to send to other states and have them verify your APRN license with us)

RN Verification Form
(Use this form to obtain a verification from states that do not participate in NURSYS)

Complaint Form


Fee Schedule:

 (there may be a small additional transaction fee for online applications)

Address Change No Charge
Duplicate License $10.00
Endorsement without Temporary Permit $100.00 (Money Order or Cashier's Check)
Endorsement with Temporary Permit $125.00 (Money Order or Cashier's Check)
Endorsement with 90-day Temporary Permit ONLY $25.00 (Money Order or Cashier's Check)
Licensure by Examination $70.00 (Money Order or Cashier's Check)
RN Renewal $67.00
Advanced Practice Application $35.00
Advanced Practice Renewal $35.00
Limited Prescriptive Authority $125.00
Name Change $10.00
Name Change with License Replacement $10.00
Reinstatement from Lapsed Status $115.00
Reinstatement from Inactive Status $25.00
Transcript Photocopy $5.00
Verification to Another Nursing Board
or Certification Body
Volunteer License No Charge
Working Without a Valid License Disciplinary fees
West Virginia RN Board
90 MacCorkle Ave SW #203, South Charleston, WV 25303 (304) 744-0900