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Ruth Ann Terry, MPH, RN

BOARD OF REGISTERED N URSING PO Box 944210, Sacramento, CA 94244-2100 P (916) 322-3350 F ( 916) 574-8637 | , CONSUMER SERVICES, AND HOUSING AGENCY GOVERNOR EDMUND G. BROWN JR. (Rev 03 /13) APPLICATION FEE SCHEDULE ENDORSEMENT Submit the correct TOTAL FEE with your application, made payable to the Board of Registered Nursing by check or money order ( currency). ALL FEES ARE NON-REFUNDABLE. T he portion of the fee for processing the fingerprint card or Live Scan process is subject to change without notice by the California Department of Justice. PLEASE NOTE: There are two (2) methods available for completing the fingerprint requirement: Method 1: Live Scan Application Process OR Method 2: Fingerprint Card (Hard Card) Application Process The fees payable to the Board of Registered Nursing depend on which fingerprint process you select. Method 1 Method 2 LIVE SCAN APPLICATION PROCESS APPLICATION ONLY: Application $ 1 TOTAL FEE: $ APPLICATION & TEMPORARY LICENSE: Application $ Request for Temporary License $ TOTAL FEE: $ NOTE: applicants are required to pay the fingerprint processing and live scan fees at the live scan site in addition to the application fee payable to the Board of Registered Nursing.

(Rev 03/13) Endorsement Application Requirements Checklist . Applicants must provide the following: Appropriate Fees (see Application Fee Schedule).

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