The University of the State of New York, The State Education Department, Office of the Professions, Division of Professional Licensing Services, Nurse Form 3F, Verification of Foreign Professional Licensure/Certification Completed Form Examples and Samples

View practical examples and samples of the New York State Education Department Nurse Form 3F, Verification of Foreign Professional Licensure/Certification. Learn how to accurately complete this form for NYS nursing licensure.
The University of the State of New York, The State Education Department, Office of the Professions, Division of Professional Licensing Services, Nurse Form 3F, Verification of Foreign Professional Licensure/Certification has a moderate Form Complexity Index of 60/100 — Instafill’s AI completes it in under a minute.
Completed Nurse Form 3F for New York State Education Department licensure verification.

Source document used: Applicant Email to Licensing Authority

Dear Licensing Board of the Ontario College of Nurses, my name is Elena Maria Rodriguez and I am currently in the process of applying for my Registered Professional Nurse license in New York. As per my application, I am writing to request you complete Form 3F for the Office of the Professions. My credentials were earned at the Universidad Central de Venezuela, located at Avenida Los Ilustres, Caracas, 1040, Venezuela. I graduated on May 15, 2018, receiving my 'Título de Enfermera'. My license number with your board is ON-882941-X, which was issued on September 22, 2019. I am currently living at 452 Maplewood Avenue, Apartment 4B, Toronto, ON M6G 2V5, Canada. When I took my initial licensing exam, I used my maiden name, Elena Maria Gonzalez. The nursing program at the university was fully accredited and met the 2-year professional requirement at the time of my attendance and graduation. There are currently no disciplinary actions or pending charges against my record, and my practice of nursing remains unrestricted in your jurisdiction. Please forward the completed verification to the Division of Professional Licensing Services in Albany. Thank you for your assistance in finalizing my credentials for the New York State Education Department.