LNCC-R Online Recertification Application

Instructions

Complete the application form below (also attach the LNCC-R Application 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 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-R Recertification Application

First Name

Last Name

Certificate Number same as member number for AALNC members

Email Address

LNCC Expiration Date

RN License Number

State RN License was Issued

LNCC-R Application Form Upload *

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

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

Submit