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1. Application and Criminal Background Check Information.
2. Fee of $30.
3. Official Transcript. Transcripts must be submitted directly from the institution where you completed your nurse midwifery course of study. The institution may charge a fee for this service.
4. National Certification. Verification of having passed the certifying examination and verification of current national certification from the ACNM Certification Council, Inc (ACC). If you are a new graduate, please make arrangements for the examination results to be sent to our office.
5. Active RN Licensure Verification . If active RN licensure is in Nebraska, no action is required to meet this requirement. If your primary state of residence under the  Nurse License Compact Act is Nebraska and your Nebraska RN license is inactive or lapsed, you must reinstate your Nebraska RN license. If your primary state of residence is a compact state other than Nebraska and you have a multi-state RN license in that state, please refer to the instructions on the  NURSYS License Verification Request Form. If your primary state of residence is a compact state and you have a multi-state RN license in that state and it is not covered by NURSYS, please contact the state directly for  Verification of Primary State. If your primary state of residence is a non-compact state, you must apply for RN licensure in Nebraska.

Primary state of residence, under the  Nurse Licensure Compact Act, means that it is your declared fixed permanent and principal home for legal purposes and is your domicile. Indicators of a domicile include, but are not limited to, where real property is located, where the person pays state taxes, votes, is licensed to operate a motor vehicle, etc.

Temporary Permits. A temporary permit, as part of the licensure process, may be issued to:

1. Graduates pending results of the first Licensure Unit examination following graduation if a written test is given and for 60 days when computerized testing is offered;
2. Applicants, for 120 days, who are lawfully authorized to practice in an advanced role in another state pending completion of the application process; or
3. Applicants, who meet all of the criteria for certification as a CNM except the continued competency requirements and who require a reentry program or supervised practice.

To apply for a temporary permit as a new graduate, you must submit the following:

1.  Application and Criminal Background Check Information; Application fee of $30;
2. Official Transcript or a letter attesting to completion from the program chair from your nurse midwifery program indicating completion;
3. Verification from the ACNM Certification Council, Inc (ACC) that you are seated for the first certifying examination following graduation (a copy of your authorization will meet this requirement) or a copy of your authorization to test when computerized testing is offered.
4. If RN licensure is other than Nebraska, verification of active multi-state RN license/temporary permit from another compact state. A notarized copy of your RN license/temporary permit will meet this requirement for purposes of a temporary permit.

To apply for a temporary permit, if you have current advanced practice licensure/recognition in another state, you must submit the following:

1.  Application and Criminal Background Check Information (Call Angela at (402) 471-4376 for an application);
2. Application fee of $30;
3. A notarized copy of advanced practice licensure/recognition in another state; and
4. If RN licensure is other than Nebraska, verification of active RN multi-state license/temporary permit from another compact state. A notarized copy of your RN license/temporary permit will meet this requirement for purposes of a temporary permit.

   To apply for a temporary permit if you have not graduated or practiced within the past 5 years and need to take a reentry program or complete supervised practice, you must submit:

   1. Applicationand Criminal Background Check Information;
   2. Application fee of $30;
   3. An Official Transcript;
   4. Verification that you are registered for a reentry program or have made arrangements for supervised practice; and
   5. If RN licensure is other than Nebraska, verification of active RN multi-state license/temporary permit from another compact state. A notarized copy of your RN license/temporary permit will meet this requirement for purposes of a temporary permit.

      You must have either a License or Temporary Permit Prior to Practicing.

      Once your credentials begin arriving in our office you have 60 days to complete your  
      application and Criminal Background Check Information (Call Angela at (402) 471-4376 for an application). After that time an incomplete application file will be discarded.