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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.

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

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