LNCC Online Recertification Application

Instructions

Complete the application form below (also attach the LNCC Application Summary Form to the form below).
ALNCCB Headquarters staff will send an invoice after your applciation is received and processed. Please allow 3 business days.

It is acceptable to submit more than 60 contact hours, but there is no need to go beyond 70 or 80 contact hours. We will stop reviewing your application when we find a minimum of 60 contact hours that meet the criteria. It is not necessary to submit any documentation other than the renewal application. If your initial application is selected for audit, you will be contacted for further information. Please be sure to retain your documentation until you receive your notification of certification renewal and new certificate.

LNCC Recertification Application

First Name

Last Name

Certificate Number same as member number for AALNC members

Address Line 1

Address Line 2

City

State

Zip/Postal Code

Phone

Email Address

LNCC Expiration Date

RN License Number

State RN License was Issued

Please click here to access the LNCC Application Summary Form. Download the form to your computer and "Save As" with a unique name (e.g. your last name - LNCC) You can then complete this fillable form and attach it to the field below.

LNCC Application Summary Form Upload *

Trouble uploading your form? Email it to info@aalnc.org.

Submit