Registered nurses often move for work, family, or new opportunities. If you already hold an RN license, you usually do not need to repeat nursing school. You do need approval from the new state board of nursing before you can practice.
This process is known as licensure by endorsement. While details vary by state, the steps are similar across the United States. Understanding them early can help reduce delays.
Check the state board of nursing for requirements
Begin with the nursing board website for the state where you plan to work. Each board sets its own rules, forms, and fees.
Look for details on:
- licensure by endorsement
- application deadlines and processing times
- fingerprinting and background checks
- continuing education requirements
Some states process applications within weeks, while others take several months. Knowing this upfront helps with planning your move and job search.
Confirm your current license is active and in good standing
You must hold an active RN license without major restrictions. Most boards will not approve an application if a license is expired or under disciplinary review.
Before applying:
- renew your current license if needed
- resolve open complaints or compliance issues
- gather proof of license status from your home state
Many boards use online verification systems, though some still require mailed documents.
Apply for licensure by endorsement
After reviewing the requirements, submit your application. Most states allow online submissions, but some still accept paper forms.
You will usually need:
- a completed application
- the required fee
- proof of identity
- license verification from your original state
Incomplete applications often lead to longer processing times.
Complete fingerprinting and a background check
Most states require a criminal background check, which often includes fingerprinting through an approved provider.
This process may include:
- scheduling fingerprinting with a state approved vendor
- submitting prints electronically or by mail
- paying a separate background check fee
If you have lived in multiple states, additional checks may apply. Prior issues do not always prevent approval, but accurate disclosure is important.
Submit education and exam verification
State boards usually require proof of nursing education and NCLEX RN exam results.
This may involve:
- requesting transcripts from your nursing school
- confirming NCLEX results through Nursys or the testing authority
Some boards request extra documentation for older education records or programs completed outside the United States.
Review Nurse Licensure Compact eligibility
If both your current and new state participate in the Nurse Licensure Compact, the process may differ. Compact states allow eligible nurses to practice in multiple states with one multistate license.
Points to review include:
- whether your primary residence qualifies
- whether your license is single state or multistate
- how a change of residence affects your license
A permanent move may require applying for a new compact license in your new home state.
Track your application and respond promptly
After submission, monitor your application status. Many boards provide online portals or email updates.
Be ready to respond to requests for:
- additional documentation
- clarification on employment history
- updated verification forms
Delays often occur when follow up requests are missed.
Plan insurance coverage before starting work
Once approved, you may begin practicing under your new license. Some nurses also review their insurance needs during this transition.
Professional Liability insurance can help address claims related to patient care. Some nurses choose individual coverage even when employer policies are in place. A personal Professional Liability policy can help cover coverage gaps or activities not covered by your employer.
BizInsure offers Professional Liability insurance for healthcare professionals. Coverage options depend on your role and work setting, so policy details should be reviewed carefully.
Final tips for a smooth transition
To keep the process organized:
- apply as early as possible
- keep copies of all forms and receipts
- review state specific rules carefully
- track deadlines and contact details
Getting an RN license in another state takes time, but preparation helps reduce setbacks and supports a smoother transition into your next role.
