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Renewing a vocational nursing or psychiatric technician license in California is a crucial process that requires careful attention to detail. The LVN Renewal form outlines specific steps that must be followed to ensure compliance with state regulations. Applicants must first complete and sign the renewal application, which includes personal information such as name, address, and license number. Renewal fees must accompany the application, with the amount depending on the license's expiration date. Submission of the payment in the form of a check or money order is mandatory, while cash is not accepted. Continuing education is another significant aspect of the renewal process; applicants must attest to completing the required number of hours or request an inactive status. Additionally, those renewing their licenses must answer questions regarding any disciplinary actions or criminal convictions since their last renewal. Compliance with fingerprinting requirements is also essential, particularly for those licensed before January 1, 1998. The form concludes with a declaration of truthfulness, affirming the accuracy of the information provided. Understanding these components is vital for a successful renewal, facilitating uninterrupted professional practice for licensed vocational nurses and psychiatric technicians.

Lvn Renewal Example

BOARD OF VOCATIONAL NURSING & PSYCHIATRIC TECHNICIANS

2535 Capitol Oaks Drive, Suite 205, Sacramento, CA 95833-2945

Phone (916) 263-7800 Fax (916) 263-7855 Web www.bvnpt.ca.gov

APPLICATION FOR RENEWAL OF LICENSE

(ATTACH RENEWAL FEE )

Check One

Vocational Nurse Psychiatric Technician

Renewal application procedures:

1.Complete and sign the application for renewal of license.

2.Determine the appropriate renewal fee due based on the expiration date on your license from the accrued renewal fee schedule at www.bvnpt.ca.gov/accrue2.htm.

3.Attach a check or money order made payable to the BVNPT. This is a nonrefundable fee. DO NOT SEND CASH.

DO NOT WRITE IN THIS SPACE

CA NUMBER

LICENSE NUMBER

4.Mail the application and fee to the above address.

PRINT OR TYPE (DO NOT USE PENCIL)

1. NAME

(LAST)

(FIRST)

(MIDDLE)

 

 

 

 

2. ADDRESS

 

(STREET OR BOX NUMBER)

(APT. NO)

 

 

 

 

3. CITY

 

STATE

ZIP

 

 

 

 

4. BIRTHDATE

(Month/Day/Year)

5. SOCIAL SECURITY NUMBER*

*NOT required but may assist in identifying records

6.TELEPHONE NUMBER Business

( )_________________________________

Home

( )________________________________

7.

LICENSE NUMBER: ____________________________________

LICENSE EXPIRATION DATE: __________________________________________

 

 

 

 

 

8.

IS THIS A NAME CHANGE?

YES NO

IS THIS AN ADDRESS CHANGE?

YES NO

(Note: Name changes must be submitted with evidence showing your new legal name (e.g., copy of your driver’s license, social security card, divorce decree or marriage certificate).

9. I WISH TO APPLY FOR THE FOLLOWING TYPE LICENSE:

Inactive (Fee required is the same as fee for an active license)

Active (Complete the continuing education information below in Section 10)

10.CONTINUING EDUCATION (CE) REQUIREMENT – CHECK ONE OF THE FOLLOWING:

This is my first renewal. CE is not required on the first renewal.

I have not completed the 30 hours of CE. Renew my license with an “inactive” status.

I have completed 30 hours of CE within the last two years. My CE information is: [If additional space is required, please include it on a separate page.]

Course Name: ________________________________________________________________________________ # of Contact Hours: ____

Completion Date: _____________________________________________

Course Provider#: ____________________________

11.SINCE YOUR LAST RENEWAL, HAVE YOU HAD ANY LICENSE DISCIPLINED BY A GOVERNMENT AGENCY OR BEEN CONVICTED OR PLED GUILTY TO ANY CRIME? A conviction must be reported regardless of whether it was an infraction, misdemeanor, or felony, except that you need not report a conviction for a traffic infraction if the fine was less than $300 and the infraction did not involve alcohol or controlled substances. You must, however, disclose any conviction in which you entered a plea of no contest (Nolo Contendere) and any convictions that were subsequently set aside or dismissed pursuant to Sections 1000 or 1203.4 of the Penal Code.

YES NO

If “YES”, please attach explanation.

12.HAVE YOU COMPLIED WITH THE FINGERPRINT REQUIREMENT? For licenses expiring after April 1, 2009, fingerprinting is required as a condition of renewal for anyone licensed prior to January 1, 1998 or for whom a record of the submittal no longer exists.

YES

Check the “yes” box if either 1) you were licensed on or after January 1, 1998 or 2) you were licensed before January 1, 1998 and submitted your fingerprints

NO

on or after January 9, 2009.

Check the “no” box if you were licensed before January 1, 1998 and did not submit your fingerprints on or after January 9, 2009. If you check “no” your

N/A

licensewill not be renewed until you comply with the requirement to submit your fingerprints.

Check the “n/a” (not applicable) box if you are renewing a license that expired before April 1, 2009.

13.PLEASE READ CAREFULLY BEFORE SIGNING. False statements included in this application can result in discipline against your license up to and including revocation.

"I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct."

SIGNATURE:_____________________________________________________________________ DATE:________________________________________

56R-18 (10/10)

1

 

Form Characteristics

Fact Name Details
Governing Board The renewal form is managed by the Board of Vocational Nursing & Psychiatric Technicians (BVNPT) in California.
Contact Information For assistance, you can contact the BVNPT at 2535 Capitol Oaks Drive, Suite 205, Sacramento, CA 95833-2945, or call (916) 263-7800.
Application Requirements Applicants must complete and sign the renewal form and pay the appropriate renewal fee based on their license’s expiration date.
Nonrefundable Fee All fees associated with the renewal application are nonrefundable. Applicants should not send cash, but checks or money orders made payable to the BVNPT are acceptable.
Continuing Education For license renewal, a continuing education requirement of 30 hours must be completed within the last two years unless it’s the applicant’s first renewal.
Name or Address Changes If there has been a name change, supporting documentation must be included with the renewal application, such as a marriage certificate or divorce decree.
Criminal History Disclosure Applicants must disclose any disciplinary actions or criminal convictions since their last renewal, with specific exceptions for minor traffic infractions.
Fingerprint Requirement Fingerprinting is mandatory for anyone renewing a license that expired after April 1, 2009, unless they've already complied.
False Statements Penalty Providing false information on the renewal form can lead to serious disciplinary actions, including the possibility of license revocation.

Guidelines on Utilizing Lvn Renewal

After completing the LVN renewal form, it's important to ensure that all information is accurately filled out before sending it off for processing. Following these steps will help you submit your renewal application smoothly and avoid any delays.

  1. Begin by downloading and printing the application for renewal of license from the Board of Vocational Nursing & Psychiatric Technicians website.
  2. Fill in your name, including last name, first name, and middle name in the designated spaces.
  3. Provide your current address, including street or box number, apartment number, city, state, and ZIP code.
  4. Enter your birthdate in the specified format (Month/Day/Year).
  5. Although providing your social security number is optional, including it may assist in identifying your records.
  6. Fill in your telephone number for both business and home.
  7. Complete the fields for your license number and license expiration date.
  8. Indicate if you have had a name or address change by checking the appropriate boxes. If it’s a name change, include evidence of your new legal name.
  9. Select whether you wish to apply for an inactive or active license, and if applying for an active license, proceed to complete the continuing education section.
  10. In the continuing education section, check the correct box regarding your CE hours and provide the necessary details including course name, number of contact hours, completion date, and course provider number if applicable.
  11. Answer whether you have had any license disciplined or been convicted of a crime, attaching an explanation if necessary.
  12. Confirm compliance with the fingerprint requirement by checking the appropriate box.
  13. Carefully read the declaration statement, sign the form, and include the date.
  14. Attach your check or money order for the renewal fee made out to the BVNPT (do not send cash).
  15. Mail the completed application form along with the payment to the address specified at the top of the form.

What You Should Know About This Form

What is the process for renewing my LVN license?

The renewal process involves several straightforward steps. First, complete and sign the application for renewal. Next, determine the appropriate renewal fee based on your license's expiration date. This information can be found on the accrued renewal fee schedule available on the BVNPT website. After calculating the fee, attach a check or money order made out to the BVNPT—remember, cash is not accepted. Finally, mail your completed application along with the renewal fee to the address provided in the application form.

How do I determine the renewal fee for my license?

Your renewal fee depends on the expiration date of your license. To find the specific amount, visit the BVNPT website and refer to the accrued renewal fee schedule. The site provides detailed information on how fees accumulate, ensuring you send the correct amount with your application.

What should I include if I've changed my name or address?

If you have undergone a name change or an address change, be sure to indicate this on your renewal application. For name changes, attach a document that provides evidence of your new legal name, such as a copy of your driver’s license, social security card, marriage certificate, or divorce decree. If you’re changing your address, simply update the address section on your application—no additional documentation is required for changes of address.

Are there continuing education (CE) requirements for renewal?

What if I have legal issues that I need to disclose?

Any disciplinary actions against your license by a government agency or any criminal convictions must be reported on your renewal application, regardless of the nature of the offense. However, minor traffic infractions may be excluded unless they involved alcohol or controlled substances. If you answer yes to having any legal issues, you must provide an explanation along with your renewal application.

Do I need to provide fingerprints as part of my renewal?

Fingerprinting is usually required for licenses expiring after April 1, 2009, specifically for those who were licensed before January 1, 1998, or for whom there is no record of fingerprint submission. You will need to check the appropriate box on your application based on your licensing status. If you indicate "no" regarding fingerprint submission, your license will not be renewed until you comply with this requirement.

Common mistakes

Filling out the LVN Renewal form can seem straightforward, but many individuals make common mistakes that can delay the renewal process. Understanding these pitfalls can ensure a smooth experience for everyone involved.

One frequent error is neglecting to sign the application. Without a signature, the form is incomplete and cannot be processed. In some cases, applicants may also forget to date the form, which can lead to further complications. Always double-check your signature and the date to avoid this issue.

Another common mistake is failing to use the correct method of payment. It's important to remember that only checks or money orders made payable to the BVNPT are accepted. Sending cash or failing to include payment altogether can result in the application being returned. This could lead to a lapse in licensure.

Some applicants fail to check the expiration date of their license before determining the renewal fee. The renewal fee varies based on when the license expires. Using the wrong fee could result in rejection of the application because of insufficient payment.

Inaccurate personal information is another issue. Applicants sometimes make mistakes when entering their name, address, or other identifying details. Errors in the name can be particularly problematic if a legal name change has occurred. It is crucial to provide accurate information, as discrepancies can delay processing time.

Many people overlook the continuing education requirements. Some forget to check the appropriate box regarding their CE status, which can lead to misunderstandings about whether their license will be renewed as active or inactive. If the continuing education hours are not completed, don’t hesitate to select the “inactive” status.

Forgetting to report disciplinary actions or convictions is another significant misstep. Any history of discipline or legal issues must be disclosed as required, regardless of the severity. Omitting this information can lead to severe consequences, including potential revocation of the license.

Applicants must also pay attention to the fingerprint requirement. Some tend to overlook their compliance with this necessity, particularly if they have been licensed for a long time. Not confirming this requirement can result in automatic non-renewal of the license.

For those using additional pages for CE information, forgetting to attach those pages is another common error. Be sure to include any additional documentation you intend to provide with the application, or the renewal may be deemed incomplete.

Lastly, rushing through the application often leads to missed details. Taking the time to read the instructions carefully can help applicants avoid avoidable mistakes. Patience during this process helps in maintaining a valid license without unnecessary complications.

Documents used along the form

When renewing an LVN (Licensed Vocational Nurse) license in California, several essential documents accompany the LVN Renewal form. These documents ensure that the renewal process runs smoothly and that all regulatory requirements are met.

  • Renewal Fee: A check or money order made payable to the Board of Vocational Nursing and Psychiatric Technicians. This nonrefundable fee is crucial for processing the renewal application. Cash should never be sent.
  • Continuing Education Certificates: Documentation showing completion of required continuing education hours. The LVN must provide proof of at least 30 hours of education within the last two years to renew their active license.
  • Name Change Documentation: If applicable, evidence must be included to support a name change, such as a copy of a marriage certificate, divorce decree, or updated government-issued identification.
  • Criminal History Disclosure: If the applicant has faced any disciplinary action or had criminal convictions since their last renewal, an explanation must accompany the renewal form.
  • Fingerprint Submission Confirmation: A record confirming the completion of fingerprinting if applicable. This is mandated for licenses issued prior to January 1, 1998, or in cases where no record exists for the applicant.
  • Updated Contact Information: If there have been changes in address or contact details since the last renewal, these updates should be clearly noted in the application.

Thoroughly preparing these documents will help ensure a timely renewal process. Organizing the required materials and double-checking for accuracy can minimize potential delays, allowing licensed vocational nurses to maintain their credentials without interruption.

Similar forms

The LVN Renewal form shares similarities with several other important documents. Each document serves a distinct purpose but contains common elements, such as personal information, fees, and specific requirements. Below is a list outlining eight other documents that closely resemble the LVN Renewal form:

  • Nursing License Application: Like the renewal form, this application requires personal details and educational background. Applicants must also submit a fee for processing.
  • State Board of Nursing Licensure Verification: This document, similar to the renewal form, necessitates information about the applicant’s license status and often incurs a fee for verification services.
  • Pharmacy Technician License Renewal Form: This form requests basic identification and license details, along with a renewal fee. Both procedures emphasize the importance of continuing education.
  • Healthcare Personnel Registration Application: Involves personal identification pieces and is often accompanied by a fee. It also requires disclosures regarding any legal actions or disciplinary actions against the applicant.
  • Medical Assistant Certification Renewal Application: This document closely mirrors the structure of the LVN Renewal form and includes continuing education verification and applicable fees.
  • Physical Therapy License Renewal Application: Requires personal identification, a declaration of hours completed in continuing education, and fees. Both forms serve to ensure that licensed professionals remain compliant with practice standards.
  • Occupational Therapy License Renewal Form: Similar to the LVN Renewal form, this provides fields for personal information, education verification, and fee submission, all crucial for maintaining an active license.
  • Child Care License Renewal Application: This application involves personal and background information. It also requires the submission of a fee and evidence of continued education or training relevant to child care practices.

Each of these documents plays a vital role in maintaining professional standards and ensuring that individuals in regulated professions keep their licenses up to date.

Dos and Don'ts

When filling out the LVN Renewal form, there are certain practices you should follow and others that you should absolutely avoid to ensure a smooth process. Below are key guidelines that can help you navigate the renewal application effectively.

  • Do complete the application thoroughly, providing all required information accurately.
  • Do sign the application. Unsigned forms will be rejected.
  • Do double-check the renewal fee, which is based on your license's expiration date.
  • Do provide a check or money order made out to the BVNPT. Remember, cash is not accepted.
  • Do not use pencil; print or type your information instead to ensure clarity.
  • Do not forget to include any necessary documentation if you are changing your name or address.
  • Do not leave any sections unanswered; all parts of the application must be completed.
  • Do not attempt to submit your former license number. Use only your current license number.

By adhering to these guidelines, you can help avoid common pitfalls and ensure that your renewal application is processed as quickly and efficiently as possible.

Misconceptions

Here are some common misconceptions related to the LVN Renewal form. Understanding these can help ensure a smooth renewal process.

  1. All renewals require continuing education (CE) credits. This is not true for the first renewal. You do not need CE credits if this is your first license renewal.
  2. I can renew my license without paying the renewal fee. Unfortunately, the renewal fee is mandatory. It must be included with your application to process it.
  3. I can use cash to pay the renewal fee. Cash payments are not accepted. You must submit a check or money order payable to the BVNPT.
  4. Submitting my Social Security number is mandatory. While it can help with identification, it is not a requirement to renew your license.
  5. Fingerprinting is always necessary for renewal. Fingerprinting is only required for those licensed before January 1, 1998, if there’s no record of fingerprint submission since January 9, 2009.
  6. I don’t need to report minor convictions. You must report any convictions, except some traffic infractions under certain conditions. Always disclose if in doubt.
  7. My application will be processed without additional documentation. If you’ve changed your name, you must provide proof of the name change with your application.
  8. Renewing my license automatically updates my address. You must indicate any address changes directly on the renewal form to ensure it's updated in the system.
  9. I can submit my application using pencil. The form must be completed in ink or typed. Pencils can result in legibility issues.
  10. Only active statuses are available for renewal. You have the option to apply for an inactive status if you have not completed the required continuing education.

Understanding these misconceptions can help you navigate the renewal process more effectively. Always ensure you follow the specific guidelines set forth on the form.

Key takeaways

When filling out and using the LVN Renewal form, keep these key points in mind:

  • Complete the form accurately. Ensure all information is filled out clearly, using either print or type.
  • Include all required fees. Attach a check or money order payable to BVNPT, but do not send cash.
  • Be mindful of your license’s expiration date. This will help you determine the appropriate renewal fee.
  • Make sure to answer all questions. Pay special attention to name and address changes, and include supporting documents if applicable.
  • Document your continuing education hours accurately. Ensure you have completed 30 hours within the last two years, if applicable.
  • Disclose any legal issues. Report any license discipline or criminal convictions, even minor traffic violations if they meet certain criteria.
  • Check the fingerprint requirement. Confirm whether you have submitted your fingerprints as required for renewal.
  • Review the application before mailing. Double-check for completeness and accuracy to avoid processing delays.
  • Sign and date the application. Your signature is a declaration that all information provided is true and correct.

Following these steps will help ensure a smooth renewal process for your LVN license.