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Application for endorsement

If you have EVER held a Louisiana lpn license, you do not qualify for endorsement. You must request reinstatement of your Louisiana license.

IMPORTANT!!!  Form one is TWO PAGES (SIDE A AND SIDE B).  Both pages must be submitted or may result in a delay in issuing a temporary permit and/or license.

If you have problems opening the form:

  1. Try using Microsoft Internet Explorer, or
  2. Save the linked document and open with a pdf reader
    1. right click the link
    2. select 'Save target as' or 'Save link as' depending on your browser
      1. for Safari select 'Download Linked File as'
    3. save to your device
    4. open with pdf reader

Complete an Endorsement Application.

These are the Curriculum Requirements.

Additional forms:

Note:  To view the form, you will need a pdf reader.
  Click the icon or visit www.adobe.com if you do not have a pdf reader.

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