Content Navigation

Renewing a license as a vocational nurse or psychiatric technician in California involves completing a specific application process outlined in the LVN Renewal form. This form, administered by the Board of Vocational Nursing and Psychiatric Technicians, requires applicants to provide essential personal information, including their name, address, and license details. A critical step in the renewal process is the determination of the appropriate renewal fee, which is based on the license's expiration date. Applicants must attach a check or money order for this nonrefundable fee, ensuring that cash is not sent. Additionally, the form addresses changes in personal circumstances, such as name or address changes, which necessitate supporting documentation. Continuing education is another vital aspect, as applicants must confirm whether they have completed the required 30 hours of continuing education within the last two years. The form also includes questions regarding any disciplinary actions or criminal convictions since the last renewal, underscoring the importance of transparency in maintaining licensure. Finally, compliance with fingerprinting requirements is essential for those licensed before 1998, adding another layer of accountability to the renewal process. By carefully following the instructions on the LVN Renewal form, nurses and technicians can ensure the continued validity of their licenses and their ability to practice in California.

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

 

File Breakdown

Fact Name Details
Governing Laws The renewal process for LVNs in California is governed by the California Business and Professions Code, Sections 2840-2846.
Renewal Fee A nonrefundable renewal fee must accompany the application. The fee amount is determined based on the license's expiration date.
Continuing Education For the first renewal, continuing education is not required. For subsequent renewals, 30 hours of continuing education must be completed within the last two years.
Fingerprint Requirement Fingerprinting is mandatory for licenses expiring after April 1, 2009, unless the applicant was licensed after January 1, 1998 or has submitted fingerprints since January 9, 2009.

Guide to Using Lvn Renewal

Completing the LVN renewal form is an important step in maintaining your professional license. After filling out the form, you will need to submit it along with the appropriate fee to the Board of Vocational Nursing and Psychiatric Technicians. Below are the steps to guide you through the process.

  1. Obtain the LVN renewal form from the Board of Vocational Nursing and Psychiatric Technicians website or their office.
  2. Fill in your name (last, first, middle) in the designated area.
  3. Provide your address (street or box number, apartment number, city, state, and ZIP code).
  4. Enter your birthdate in the format Month/Day/Year.
  5. Optionally, include your Social Security number to assist in identifying your records.
  6. List your telephone number for both business and home.
  7. Fill in your license number and the license expiration date.
  8. Indicate if there has been a name change or address change by checking the appropriate boxes. If there is a name change, attach evidence of your new legal name.
  9. Choose the type of license you wish to apply for: active or inactive.
  10. Complete the continuing education section, indicating if you have met the requirements.
  11. Answer whether you have had any license disciplined or been convicted of any crime since your last renewal.
  12. Confirm compliance with the fingerprint requirement based on your licensing date.
  13. Read the declaration statement carefully and sign the application.
  14. Attach a check or money order for the renewal fee made payable to the BVNPT.
  15. Mail the completed application and payment to the address provided on the form.

Get Answers on Lvn Renewal

What steps do I need to take to renew my LVN license?

To renew your LVN license, follow these steps:

  1. Complete and sign the application for renewal of your license.
  2. Determine the renewal fee based on your license's expiration date. You can find the fee schedule on the BVNPT website.
  3. Attach a check or money order made out to the BVNPT. Remember, this fee is nonrefundable, so do not send cash.
  4. Mail your completed application and payment to the address provided on the form.

What if I have changed my name or address?

If you have changed your name or address since your last renewal, you must indicate this on the application form. For a name change, you will need to provide proof, such as a copy of your driver's license, social security card, marriage certificate, or divorce decree. Make sure to check the appropriate boxes on the application to reflect these changes.

What are the continuing education requirements for renewal?

Continuing education is an important part of maintaining your LVN license. For your renewal:

  • If this is your first renewal, continuing education is not required.
  • If you have not completed the required 30 hours of continuing education, you can renew your license with an "inactive" status.
  • If you have completed the 30 hours within the last two years, provide the course name, number of contact hours, completion date, and course provider number on the application.

What should I do if I have had a license discipline or criminal conviction?

If you have had any discipline against your license by a government agency or have been convicted of a crime since your last renewal, you must disclose this information on your application. This includes any misdemeanors or felonies, except for certain minor traffic infractions. If you answer "yes," please attach an explanation to your application.

Do I need to comply with fingerprinting requirements?

Yes, fingerprinting is required for license renewal if:

  • Your license expired after April 1, 2009, and you were licensed before January 1, 1998.
  • You have not previously submitted your fingerprints after January 9, 2009.

If you do not comply with this requirement, your license will not be renewed. Make sure to check the appropriate box on the application regarding your fingerprint status.

Common mistakes

Filling out the LVN Renewal form can seem straightforward, but many individuals make common mistakes that can delay the renewal process. One frequent error is neglecting to include the appropriate renewal fee. It is essential to determine the correct fee based on the expiration date of your license. Failing to attach a check or money order made payable to the BVNPT can result in your application being returned.

Another mistake is using pencil instead of pen or typing. The form specifically instructs applicants to print or type their information. Using pencil can lead to unclear information, which may cause issues in processing your application. Always ensure that your entries are legible and permanent.

Additionally, many applicants overlook the requirement to indicate if there has been a name or address change. If you have experienced a name change, you must provide evidence of your new legal name, such as a copy of your driver’s license or marriage certificate. Failing to do so can result in complications with your renewal.

Some individuals also forget to check the appropriate box regarding their continuing education (CE) requirements. If you have completed the necessary 30 hours of CE, you must provide detailed information about the courses. Inaccurately stating your CE status can lead to a delay in processing your renewal.

Another common oversight involves the disclosure of any disciplinary actions or convictions. Applicants must report any license discipline or criminal convictions, regardless of their nature. Not providing this information can lead to serious consequences, including potential disciplinary action against your license.

Furthermore, many applicants fail to comply with the fingerprint requirement, especially those who were licensed before January 1, 1998. If you do not check the appropriate box regarding your fingerprint status, your application may not be processed until you fulfill this requirement.

Lastly, individuals sometimes forget to sign and date the application. The declaration under penalty of perjury is a critical component of the form. Omitting your signature can result in the rejection of your application, so it is vital to ensure that this step is completed.

By being mindful of these common mistakes, you can help ensure a smoother renewal process. Taking the time to carefully review your application before submission can save you from unnecessary delays and stress.

Documents used along the form

When renewing your LVN license, several other forms and documents may be necessary to ensure a smooth process. Each of these documents serves a specific purpose and helps maintain compliance with state regulations. Below is a list of commonly used forms that you might encounter alongside the LVN Renewal form.

  • Continuing Education Documentation: This document verifies that you have completed the required 30 hours of continuing education within the last two years. It includes course names, contact hours, and completion dates.
  • Fingerprint Submission Form: Required for certain license renewals, this form confirms that you have submitted fingerprints as part of the background check process. It’s essential for those licensed before January 1, 1998.
  • Name Change Documentation: If you are changing your name, you must provide legal evidence of the change. Acceptable documents include a marriage certificate, divorce decree, or a copy of your driver’s license.
  • Criminal Background Disclosure Form: If applicable, this form discloses any criminal convictions or disciplinary actions since your last renewal. It’s crucial to be honest and transparent.
  • License Verification Request: If you hold licenses in other states, this form may be needed to verify your current standing and any disciplinary actions taken against you.
  • Inactive Status Application: If you wish to renew your license as inactive, this application indicates that you have not completed the required continuing education hours.
  • Renewal Fee Payment Form: This form accompanies your payment for the renewal fee. It ensures that your payment is processed correctly and linked to your application.
  • Address Change Notification: If you’ve moved since your last renewal, this form updates your contact information with the licensing board to ensure you receive important notifications.

Having these documents ready can significantly ease the renewal process for your LVN license. Each form plays a vital role in keeping your professional standing intact, so be sure to gather them before submitting your renewal application.

Similar forms

The LVN Renewal form shares similarities with several other documents related to professional licensing and renewal processes. Below is a list of ten such documents, each highlighting how they relate to the LVN Renewal form.

  • RN Renewal Application: Like the LVN Renewal form, the RN Renewal Application requires personal information, verification of continuing education, and payment of a renewal fee.
  • Pharmacy Technician Renewal Application: This document also asks for personal details, renewal fee payment, and may require proof of continuing education, similar to the LVN process.
  • Medical License Renewal Application: The medical license renewal process includes submitting personal information, a renewal fee, and documentation of ongoing education or training.
  • Social Work License Renewal Application: This application requires the submission of personal information, proof of continuing education, and payment, mirroring the LVN requirements.
  • Occupational Therapy License Renewal Form: Similar to the LVN Renewal form, this document necessitates personal details, a renewal fee, and evidence of continuing education.
  • Physical Therapy License Renewal Application: This form also includes sections for personal information, renewal fees, and continuing education documentation, akin to the LVN process.
  • Chiropractic License Renewal Application: Like the LVN Renewal form, this document requires personal information, a renewal fee, and proof of continuing education.
  • Real Estate License Renewal Application: This application shares similarities by requiring personal information, payment of fees, and proof of continuing education or training.
  • Insurance Agent License Renewal Application: This form requires personal details, payment of renewal fees, and continuing education documentation, similar to the LVN Renewal process.
  • Certified Public Accountant (CPA) License Renewal Application: Like the LVN Renewal form, this document includes personal information, a renewal fee, and proof of continuing education requirements.

Dos and Don'ts

When filling out the LVN Renewal form, it's important to be thorough and careful. Here are some things you should and shouldn't do:

  • Do read the entire application carefully before starting.
  • Do ensure you have the correct renewal fee and attach it to your application.
  • Don't use pencil; make sure to print or type your information.
  • Don't forget to sign and date the application before mailing it.

Misconceptions

Understanding the process of renewing your LVN license can be daunting, especially with the various forms and requirements involved. Here are five common misconceptions about the LVN renewal form that you should be aware of:

  • Misconception 1: You can submit cash as a renewal fee.
  • This is not true. The renewal form specifically states that cash should not be sent. Instead, you must provide a check or money order made payable to the BVNPT.

  • Misconception 2: Continuing education is required for all renewals.
  • Many believe that continuing education hours are mandatory for every renewal. However, if this is your first renewal, you are not required to complete any continuing education hours.

  • Misconception 3: You can change your name or address without documentation.
  • It’s important to note that any name change must be accompanied by legal documentation. This could include a copy of your marriage certificate, divorce decree, or a driver’s license reflecting your new name.

  • Misconception 4: Fingerprinting is optional for all applicants.
  • Some may think that fingerprinting is optional. However, for licenses expiring after April 1, 2009, fingerprinting is a requirement for those licensed before January 1, 1998 or if there is no record of submission. Not complying can result in your license not being renewed.

  • Misconception 5: You do not need to report minor convictions.
  • This is a common misunderstanding. Even minor convictions must be reported, except for traffic infractions with fines under $300 that do not involve alcohol or drugs. All other convictions, including those set aside or dismissed, must be disclosed.

Key takeaways

When filling out and using the LVN Renewal form, consider the following key takeaways:

  • Complete the Application Accurately: Ensure that you fill out all required fields in the application form. Use either print or type; avoid using pencil.
  • Determine the Correct Fee: Check the expiration date on your license and refer to the accrued renewal fee schedule available on the BVNPT website to find the appropriate fee.
  • Payment Method: Attach a check or money order made out to the BVNPT. Remember, the fee is nonrefundable, and cash should not be sent.
  • Name and Address Changes: If there has been a name or address change, provide supporting documentation to validate the new information.
  • Continuing Education Requirements: Be aware of the continuing education requirements. If this is your first renewal, CE is not required. Otherwise, ensure you meet the 30-hour CE requirement.
  • Fingerprint Compliance: Check if you have complied with the fingerprint requirement. If your license was issued before January 1, 1998, you may need to submit fingerprints for renewal.

By keeping these points in mind, you can navigate the renewal process more smoothly and ensure compliance with all necessary regulations.