PURPOSE: This rule sets out requirements for licensure in Missouri of registered professional nurses and licensed practical nurses by examination, endorsement and renewal.

1. (1) Examination.

   1. (A) Written examination as used in Chapter 335, RSMo shall mean either a paper and pencil examination or a computerized adaptive examination.
   2. (B) The registered professional nurse (RN) candidate shall have successfully completed the basic prescribed curriculum and received a degree or diploma from a school with an accredited professional nursing program. The practical nurse candidate shall have successfully completed a basic prescribed curriculum in an accredited school of practical nursing and have earned a practical nursing degree, diploma or certificate or completed a comparable period of training as determined by the board. A comparable period of training as determined by the board shall mean graduation from an accredited professional nursing program with validation by examination of a personal and vocational concepts course by an accredited practical nursing program or graduation from the Army Practical Nurse Program.
   3. (C) The candidate shall make written application to the Missouri State Board of Nursing for permission to be admitted to the licensing examination for professional/practical nurses. Application forms for the FINANCIAL INSTITUTIONS AND PROFESSIONAL REGISTRATION

licensing examination shall be obtained from the Missouri State Board of Nursing.

1. 1. A request for forms shall be made by

the director of the program of professional/ practical nursing and should include the names and completion dates of candidates who expect to apply for admission to the examination.

1. 2. Application forms for out-of-state/

country graduates may be obtained by contacting the State Board of Nursing, giving name, address, name and address of school of nursing and completion date.

1. 3. Any applicant applying for the practi-

cal nurse licensing examination who is deficient in theory, clinical experience, or both, as stated in 20 CSR 2200, Chapter 3—Practical Nursing, and has not earned a practical nursing degree or met the requirements for a comparable period of training as determined by the board pursuant to 20 CSR 2200- 4.020(1)(B), will not be approved.

1. (D) A completed application for the licensing examination signed and accompanied by one (1) two-inch by two-inch (2"× 2") portrait/photograph of the applicant shall be submitted to the Missouri State Board of Nursing for evaluation along with the required examination fee, and proof of submission of fingerprints to the Missouri State Highway Patrol’s approved vendor for both a Missouri State Highway Patrol and Federal Bureau of Investigation fingerprint background check prior to the established deadline date set by the Missouri State Board of Nursing. Proof shall consist of any documentation acceptable to the board. Any fees due for fingerprint background checks shall be paid by the applicant directly to the Missouri State Highway Patrol or its approved vendor. All fees are nonrefundable. Note: The name appearing on the application will be the only legal name of the individual recognized by the Missouri State Board of Nursing unless evidence of the change in name has been submitted.
2. (E) An application for a candidate’s first licensing examination in Missouri shall bear the school seal and the signature of the director of the program of professional/practical nursing. This shall indicate the endorsement of the candidate to take the licensing examination. The affidavit portion of the application shall be properly executed before a notary public.
3. (F) Applicants approved by the Missouri State Board of Nursing as eligible to take the licensing examination for professional/practical nurses shall be notified and forwarded identifying material and specific information as to date, time and place. Candidates shall take the current National Council of State Boards of Nursing, Incorporated Licensure Examination for professional/practical nurses.
4. (G) The term first licensing examination scheduled by the board, as used in section 335.081, RSMo, shall mean the first licensure examination taken by the student which must be taken within ninety (90) days of graduation.
5. (H) An applicant for licensure by endorsement or licensure by examination who answers yes to one (1) or more of the questions on the application or the fingerprint checks reveal charges and/or convictions which relate to possible grounds for denial of licensure under section 335.066, RSMo shall submit copies of appropriate documents, as requested by the board, related to that answer or the fingerprint check before his/her application will be considered complete. The copies shall be certified if they are records of a court or administrative government agency. An applicant for licensure by endorsement or licensure by examination who the executive director or designee determines may not meet the requirements for licensure or examination shall be notified that the application will be reviewed by the members of the board at the board’s next regular scheduled meeting following receipt of all requested documents. The Missouri State Board of Nursing shall notify, by certified mail or delivery, any individual who is refused permission to take an examination for licensure or an individual licensed in another state, territory or foreign country that is denied a license by endorsement without examination. At the time of notification, this individual is to be made aware of his/her avenue of appeal through the Missouri Administrative Hearing Commission.
6. (I) A passing designation as determined by the Missouri State Board of Nursing shall be attained by candidates to qualify for licensure to practice professional/practical nursing in Missouri. Results of the licensing examination shall be reported only by pass/fail designation to candidates and to directors of programs of professional/practical nursing.
7. (J) An original examination report shall be forwarded to the examinee. A copy shall be retained in the permanent application on file in the Missouri State Board of Nursing office. A composite report shall be forwarded to the director of each program of professional/ practical nursing listing the names of the candidates and the pass/fail designation for each candidate.
8. (K) A transcript of the final record shall be submitted to the Missouri State Board of Nursing for each applicant upon completion of the program of professional/practical nursing. The seal, if available, of the school and signature of the director of the program of professional/practical nursing or registrar shall be affixed to the transcript. The transcript must include the degree awarded and date of graduation. A candidate cannot take the licensure examination until all licensure requirements are met, including providing a transcript.
9. (L) There shall be a thirty (30)-day grace period for graduates who have successfully passed the first available licensing examination in another state following graduation to obtain a temporary permit or license in Missouri after the graduate has received his/her results.

10. (M) Requests for Examination Modification.

    1. 1. The Missouri State Board of Nursing

and its test service shall determine if a candidate shall be allowed modification of the examination if the candidate requests the modification because of a disability defined by the Americans with Disabilities Act.

1. 2. The candidate requesting modifica-

tion shall submit a request to the Missouri State Board of Nursing. The request shall contain—

1. A. A letter from the candidate’s nurs-

ing education program indicating what modifications, if any, were granted by that program;

1. B. Appropriate documentation sup-

porting the request for accommodation from a qualified professional with expertise in the areas of the diagnosed disability. Documentation must include:

1. (I) A history of the disability and

any past accommodation granted the candidate and a description of its impact on the individual’s functioning;

1. (II) Identification of the specific

standardized and professionally recognized tests/assessments given (e.g., Woodcock- Johnson, Weschler Adult Intelligence Scale);

1. (III) Clinical diagnoses of disability

(where applicable, list the DSM Code Number and Title);

1. (IV) The scores resulting from test-

ing, interpretation of the scores and evaluations; and

1. (V) Recommendations for testing

accommodations with a stated rationale as to why the requested accommodation is necessary and appropriate for the diagnosed disability; and

1. C. A letter from the applicant

requesting the modifications detailing the specific modifications and explaining the rationale for the modifications.

1. 3. When the request is received from the

candidate with the previously listed items, the request will be reviewed.

1. 4. If approved, a request for modifica-

tion of an examination will be submitted to the National Council of State Boards of Nursing, Incorporated.

1. 5. After the National Council of State

Boards of Nursing, Incorporated has reported its decision to the Missouri State Board of Nursing, the candidate will be notified of the decision.

1. 6. A handicapped individual is defined

in the Rehabilitation Act of 1973.

1. (2) Repeat Examination.

   1. (A) A candidate who does not achieve the passing designation as determined by the Missouri State Board of Nursing shall not qualify to receive a license to practice professional/practical nursing in Missouri. It shall be unlawful for any person to practice professional/practical nursing in Missouri as a graduate nurse after failure of the National Council of State Boards of Nursing, Incorporated licensure examination until successfully passing the examination and receiving a license.
   2. (B) A candidate who does not achieve the passing designation who wishes to review, challenge, or both, the National Council Licensure Examination must send a written letter of request to the Missouri State Board of Nursing office no later than four (4) months after release of examination results to the candidate.
   3. (C) If approved, the request is submitted to the National Council of State Boards of Nursing, Incorporated. A board fee may be charged.
   4. (D) A candidate who does not achieve the passing designation shall be notified. No further examination notices shall be issued by the Missouri State Board of Nursing.
   5. (E) The required fee shall be submitted to the Missouri State Board of Nursing office each time the candidate applies for the examination and is nonrefundable.
2. (3) A graduate of a nursing program may practice as a graduate nurse until he/she has received the results of the first licensure examination taken by the nurse or until ninety (90) days after graduation, whichever first occurs.

3. (4) Passing Score.

   1. (A) The standard score of three hundred fifty (350) in each subject of the State Board Test Pool Examination for Registered Nurses shall be the Missouri passing score beginning with series nine hundred forty-nine (949) through series two hundred eighty-two (282). Candidates writing the licensing examination prior to the date series nine hundred fortynine (949) was given shall have no grade below sixty-five percent (65%) and shall have attained an average score of seventy percent (70%). Beginning July 1982, the standardized scoring system to be used with the National Council Licensure Examination for Registered Nurses will have a passing score of sixteen hundred (1600). Beginning February 1989, to be eligible for licensure, a candidate must achieve a pass designation on the National Council Licensure Examination for Registered Nurses.
   2. (B) For the period March 1, 1954 through February 28, 1958, seventy percent (70%) was required for passing the practical nurse examination. For the period March 1, 1958 to December 31, 1958, the standard score of three hundred (300) was the minimum passing score for the practical nurse examination. As of January 1, 1959, the standard score of three hundred fifty (350) shall be the minimum passing score in Missouri for the State Board of Nursing Test Pool Licensing Examination or the National Council Licensure Examination for Practical Nurses. Beginning October 1988, to be eligible for licensure, a candidate must achieve a pass designation on the National Council Licensure Examination for Practical Nurses.

4. (5) Licensure by Endorsement in Missouri— Registered Nurses (RNs) and Licensed Practical Nurses (LPNs).

   1. (A) A professional/practical nurse licensed in another state or territory of the United States shall be entitled to licensure provided qualifications are equivalent to the requirements of Missouri at the time of original licensure. This equivalency shall be defined as—

      1. 1. Evidence of completion and gradua-

tion from an accredited program of professional/practical nursing if educated in a state of the United States; a course-by-course evaluation report received directly from a credentials evaluation service approved by the board or a Commission on Graduates of Foreign Nursing Schools (CGFNS) certificate if the initial nursing education was earned in a territory, Canada or another country;

1. 2. Attainment of a passing standard

score or pass designation as determined by the Missouri State Board of Nursing on the licensing examination or attainment of an acceptable grade in areas comparable to those required in Missouri at the time licensure was secured in the state of original licensure;

1. 3. Evidence of completion of the appli-

cable secondary education set forth in section 335.046, RSMo requirements or the equivalent as determined by the State Department of Education; 20 CSR 2200-4

1. 4. Applicants who are not citizens of the

United States who have completed programs in schools of professional/practical nursing in states which require citizenship for licensure may take the National Council Licensure Examination for professional/practical nurses in Missouri if they meet all of Missouri’s requirements; and

1. 5. If an individual was licensed by waiv-

er as a practical/vocational nurse in another state, territory or foreign country prior to July 1, 1955, and the individual meets the requirements for licensure as a practical nurse in Missouri which were in effect at the time the individual was licensed in the other jurisdiction, she/he is eligible for licensure in Missouri as an LPN. If an individual is licensed by waiver in another state after July 1, 1955, she/he does not qualify for licensure by waiver in Missouri as a practical nurse.

1. (B) Procedure for Application.

   1. 1. An applicant should request an appli-

cation for endorsement licensure from the Missouri State Board of Nursing. The request shall include the full name, current mailing address and state of original licensure.

1. 2. The application for endorsement

licensure shall be completed in black ink with the affidavit portion properly executed before a notary public and submitted with the required application fee, and proof of submission of fingerprints to the Missouri State Highway Patrol’s approved vendor for both a Missouri State Highway Patrol and Federal Bureau of Investigation fingerprint background check. Proof shall consist of any documentation acceptable to the board. Any fees due for fingerprint background checks shall be paid by the applicant directly to the Missouri State Highway Patrol or its approved vendor. All fees are nonrefundable. The application shall be submitted to the Missouri State Board of Nursing.

1. 3. The endorsement/verification of

licensure form shall be forwarded by the applicant to the board of nursing for completion in the state or territory of original licensure by examination, or to Canada, with a request to submit the completed form to the Missouri State Board of Nursing.

1. 4. The applicant shall cause an official

nursing transcript to be forwarded directly to the Missouri State Board of Nursing office if a transcript is requested by the executive director or designee.

1. 5. A final evaluation of the submitted

application shall be made only after all required credentials are assembled.

1. 6. The applicant shall be notified of this

evaluation for licensure. (6) Applicants Not Meeting Requirements.

1. (A) An applicant who does not meet the Missouri requirements for licensure at the FINANCIAL INSTITUTIONS AND PROFESSIONAL REGISTRATION

time of completion of a program of professional/practical nursing shall be advised regarding the necessary steps for qualification on the basis of the particular deficiency.

1. (B) An applicant who has not attained the passing score or grade on the licensing examination as required by the Missouri State Board of Nursing at the time of original licensure shall be required to take the current National Council Licensure Examination (NCLEX®) and receive a pass designation prior to licensure.
2. (C) A professional/practical nurse licensed in another state or territory of the United States shall be entitled to licensure; provided, qualifications are equivalent to the requirements in Missouri at the time of original licensure.

1. (7) Temporary Permit.

   1. (A) Applicants wishing to practice professional/practical nursing in Missouri following the evaluation of the application and transcript, if requested to determine if the applicant meets licensure requirements in Missouri, should submit a copy of a current nursing license from another state, territory or Canada. A temporary permit may be secured for a limited period of time six (6) months until licensure is granted or denied by the Missouri State Board of Nursing or until the temporary permit expires, whichever comes first. If the applicant does not hold a current nursing license in another state, territory or Canada, a temporary permit may be issued upon receipt of a completed endorsement verification of licensure form and transcript, if requested. Applicants from Canada may apply for a temporary permit provided for by rule.

2. (8) Intercountry Licensure by Examination in Missouri—RN and LPN.

   1. (A) Application Procedure.

      1. 1. A professional/practical nurse educat-

ed outside a state of the United States shall be entitled to apply to take the examination for licensure if, in the opinion of the Missouri State Board of Nursing, current requirements for licensure in Missouri are met.

1. 2. An applicant must request an Appli-

cation for Professional/Practical Nurse Licensure by Examination. The request shall include the applicant’s full name, current mailing address and country of original licensure. The application shall be properly executed by the applicant in black ink and shall be included in the documents submitted to the Missouri State Board of Nursing for evaluation with the required credentials. All original documents shall be returned to the applicant. Credentials in a foreign language shall be translated into English, the translation shall be signed by the translator and the signature shall be notarized by a notary public. The translation shall be attached to the credentials in a foreign language when submitted to the Missouri State Board of Nursing.

1. 3. The required credentials for practical

nurse applicants are—

1. A. A course-by-course evaluation

report received directly from a foreign credentials evaluation service approved by the board;

1. B. A photostatic copy of birth certifi-

cate (if a copy of birth certificate is not available, copy of baptismal certificate, passport or notarized statement from an authorized agency will be accepted as verification of name, date of birth and place of birth);

1. C. Photostatic copy of marriage

license/certificate (if applicable);

1. D. Evidence of English-language pro-

ficiency by any of the following:

1. (I) Test of English as a Foreign

Language (TOEFL) www.toefl.org with a passing score of five hundred forty (540) on the paper examination or a passing score of two hundred seven (207) for the computerized examination or a passing score of seventy-six (76) on the Internet-based exam; or

1. (II) Test of English for Internation-

al Communication (TOEIC) www.toeic.com with a passing score of seven hundred twenty-five (725); or

1. (III) International English Lan-

guage Testing System (IELTS) www.ielts.org with a passing score in the academic module of six and one-half (6.5) and the Spoken Band score of seven (7);

1. E. Test of Spoken English (TSE®)

Certificate indicating that the applicant has obtained a minimum overall score of fifty (50);

1. F. Photostatic copy of original license

issued by the licensing agency where original licensure/registration was secured by examination; and

1. G. The completed application must be

accompanied by one (1) two-inch by two-inch (2"× 2") portrait/photograph of the applicant, and proof of submission of fingerprints to the Missouri State Highway Patrol’s approved vendor for both a Missouri State Highway Patrol and Federal Bureau of Investigation fingerprint background check. Proof shall consist of any documentation acceptable to the board. Any fees due for fingerprint background checks shall be paid by the applicant directly to the Missouri State Highway Patrol or its approved vendor, and the required application fee. All fees are nonrefundable.

1. 4. The required credentials for profes-

sional nurse applicants are—

1. A. A course-by-course evaluation

report received directly from a credentials evaluation service approved by the board or Commission on Graduates of Foreign Nursing Schools (CGFNS) certificate and evidence of English-language proficiency. Any of the following is considered evidence of English-language proficiency:

1. (I) Test of English as a Foreign

Language (TOEFL) www.toefl.org with a passing score of five hundred forty (540) on the paper examination or a passing score of two hundred seven (207) for the computerized examination or a passing score of seventy-six (76) on the Internet-based exam; or

1. (II) Test of English for Internation-

al Communication (TOEIC) www.toeic.com with a passing score of seven hundred twenty-five (725); or

1. (III) International English Lan-

guage Testing System (IELTS) www.ielts.org with a passing score in the academic module of six and one-half (6.5) and the Spoken Band score of seven (7).

1. B. A photostatic copy of birth certifi-

cate (if a copy of birth certificate is not available, a copy of baptismal certificate, passport or notarized statement from authorized agency will be accepted as verification of name, date of birth and place of birth);

1. C. Photostatic copy of original license

or certificate issued by the licensing agency where original licensure/registration was secured by examination;

1. D. Photostatic copy of marriage

license/certificate (if applicable); and

1. E. The completed examination appli-

cation with the required examination fee, one (1) two-inch by two-inch (2"× 2") portrait/photograph of the applicant, and proof of submission of fingerprints to the Missouri State Highway Patrol’s approved vendor for both a Missouri State Highway Patrol and Federal Bureau of Investigation fingerprint background check. Proof shall consist of any documentation acceptable to the board. Any fees due for fingerprint background check shall be paid by the applicant directly to the Missouri State Highway Patrol or its approved vendor. All the credentials shall be submitted to the Missouri State Board of Nursing.

1. (B) Unqualified Applicants. An applicant who does not meet Missouri’s current minimum requirements for licensure shall be advised regarding the necessary steps for qualification.
2. (C) The board of nursing will cooperate with the United States Immigration Service by advising it of the status of the applicant for nursing licensure if requested.

1. (9) Licensure Renewal.

   1. (A) Renewal periods shall be for one (1), two (2), or three (3) years as determined by the board.
   2. (B) The required fee shall be submitted prior to the date the license lapses.
   3. (C) In answer to requests for information regarding an individual’s licensure, the staff of the board will verify status and other information as deemed appropriate by the executive director.

2. (10) Inactive Licenses.

   1. (A) Any nurse possessing a current license to practice nursing in Missouri may place that license on inactive status by filing a written and signed request for inactive status with the board. This request may be accomplished, but need not be, by signing the request for inactive status which appears on the nurse’s application for license renewal and returning that application to the board prior to the date the license has lapsed.

   2. (B) Individuals wishing to reactivate licenses after being carried as inactive shall request a Petition for Renewal from the Missouri State Board of Nursing. Fees shall be accepted only if accompanied by a completed Petition for Renewal. Back fees shall not be required for the years the licensee’s records were carried as inactive. The Petition for Renewal shall show, under oath or affirmation of the nurse, a statement—

      1. 1. That the nurse is not presently prac-

ticing nursing in Missouri; and

1. 2. As to whether the nurse did practice

nursing while the license was inactive and, if so, how long and where. If the nurse was practicing nursing in Missouri at the time his/her license was inactive, he/she also must submit a notarized statement indicating that he/she ceased working as soon as he/she realized that the license was inactive. In addition, the nurse must cause his/her employer to submit a statement on the employer’s letterhead stationery or a notarized statement indicating that the nurse ceased working as soon as he/she realized that the license was inactive.

1. (C) No person shall practice nursing or hold him/herself out as a nurse in Missouri while his/her license is inactive.
2. (D) A nurse who petitions for renewal of an inactive license who answers yes to one

1. (1) or more of the questions on the petition which relate to possible grounds for denial of renewal under section 335.066, RSMo, shall submit copies of appropriate documents related to that answer, as requested by the board, before his/her petition will be considered complete. The copies shall be certified if they are records of a court or administrative government agency. If a nurse requesting reinstatement of his/her inactive license is denied by the State Board of Nursing based upon the fact that the nurse is subject to disciplinary action under any provisions of Chapter 335, RSMo, the nurse shall be notified of the statutory right to file a complaint with the Administrative Hearing Commission.

   1. (E) A nurse whose license is inactive for three (3) years or more shall file the petition, documents and fees required in subsection (10)(B). In addition, the nurse may be required to appear before the board personally and demonstrate evidence of current nursing knowledge and may be required to successfully complete an oral or written examination, or both, provided by the board or to present proof of regular licensed nursing practice in other states during that time period.

2. (11) Lapsed Licenses, When—Procedures for Reinstatement.

   1. (A) Pursuant to sections 335.056 and 335.061, RSMo, a license issued by the State Board of Nursing to an RN or LPN is lapsed if the nurse fails to renew that license in a timely fashion. A license renewal is timely if the nurse mails a completed application for renewal, accompanied by the requisite fee, in a properly stamped and addressed envelope, postmarked no later than the expiration date of the nurse’s current license. No person shall practice nursing or hold him/herself out as a nurse in Missouri while his/her license is registered with the State Board of Nursing as being lapsed.
   2. (B) A nurse whose license has lapsed in Missouri for fewer than thirty (30) days may obtain renewal of that license by mailing the requisite fee to the proper address and postmarked no later than the thirtieth day of lapse. Satisfactory explanation of the lapse will be presumed. The State Board of Nursing, in its discretion, may not renew the license of any nurse who is subject to disciplinary action under Chapter 335, RSMo, but the board shall advise the nurse of the statutory right to file a complaint with the Administrative Hearing Commission.
   3. (C) A nurse whose license has lapsed in Missouri for thirty (30) days or more, but fewer than three (3) years, must petition the State Board of Nursing for renewal of the license on a form furnished by the board. Accompanying the petition shall be a late renewal fee and the fee for the current renewal period as outlined in 20 CSR 2200-4.010. If the nurse has practiced nursing in Missouri while the license was lapsed, in order to renew, the licensee must pay the lapsed fee, the renewal fee for each year he/she practiced nursing in Missouri and the fee for the cur- 20 CSR 2200-4

rent renewal period. This petition shall show under oath or affirmation of the nurse—

1. 1. A statement that the nurse is not

presently practicing nursing in Missouri;

1. 2. A statement as to whether the nurse

did practice nursing while the license was lapsed and, if so, how long and where; and

1. 3. If the nurse was practicing nursing in

Missouri at the time his/her license was lapsed, he/she must submit a notarized statement indicating that he/she ceased working as soon as he/she realized that the license was lapsed. In addition, the nurse must cause his/her employer to submit a statement on the employer’s letterhead stationery or a notarized statement indicating that the nurse ceased working as soon as he/she realized that the license was lapsed.

1. (D) A nurse whose license is lapsed for three (3) years or more shall file the same petition, documents and fees required in subsection (11)(C). In addition, the nurse may be required to appear before the board personally and demonstrate evidence of current nursing knowledge and may be required to successfully complete an examination provided by the board or by proof of regular licensed nursing practice in other states during that time period.
2. (E) Upon satisfactory completion of the requirements specified in subsections (11)(B)–(D) which are pertinent to that nurse, the board reserves the right to refuse to reinstate the lapsed license of any nurse, including one who is subject to disciplinary action under any provisions of Chapter 335, RSMo, which includes disciplinary action for practicing nursing without a license while that license is lapsed. A nurse who is petitioning for renewal of a lapsed license who answers yes to one (1) or more of the questions on the petition which relate to possible grounds for denial of renewal under section 335.066, RSMo, shall submit copies of appropriate documents, as requested by the board, related to that answer before his/her petition will be considered complete. The copies shall be certified if they are records of a court or administrative government agency. If a lapsed license is not reinstated, the board shall notify the nurse of the fact and the statutory right to file a complaint with the Administrative Hearing Commission.
3. (F) If any provision of this rule is declared invalid by a court or agency of competent jurisdiction, the balance of this rule shall remain in full force and effect, severable from the invalid portion.

1. (12) Duplicate Licenses. A duplicate license, marked duplicate, may be issued in the event the original becomes lost or destroyed, or if FINANCIAL INSTITUTIONS AND PROFESSIONAL REGISTRATION

the licensee requests a duplicate license due to a name change. The licensee must notify the Missouri State Board of Nursing and a form will be forwarded for completion and notarization. A fee will be charged for the duplicate.

1. (13) Change of Name, Address, or Both.

   1. (A) Original License. The original license may not be altered in any way; it must remain in the name under which it was issued.

   2. (B) Current License.

      1. 1. If a change of name has occurred

since the issuance of the current license, the licensee must notify the board of the name change in writing. If a duplicate license reflecting the name change is desired, the current license and required fee must be submitted to the board office.

1. 2. If a change of address has occurred

since the issuance of the current license, the licensee must notify the board of the address change. No duplicate license will be issued solely to reflect an address change. Each licensee must notify the board of any change in the licensee’s mailing address prior to the expiration date of the licensee’s current license.

1. 3. Requests for the current license to be

sent to a place other than the regular mailing address shall be forwarded to the executive director.

1. (14) Retired License Status.

   1. (A) An applicant for renewal of a nurse license who is retired from the profession may apply for a retired license status by completing a form provided by the board.
   2. (B) Retired from the profession means that the licensee does not intend to practice nursing for monetary compensation for at least two (2) years; such person may provide volunteer services.

   3. (C) A licensee may qualify for retired license status provided the licensee:

      1. 1. Is retired from the profession;
      2. 2. Holds a current, unrestricted, and

undisciplined nurse license; and

1. 3. Submits the required form.
2. (D) Retired license renewal for a professional nurse shall be biennial; occurring on odd-numbered years and the license shall expire on April 30 of each odd-numbered year. Retired license renewal for a practical nurse shall be biennial; occurring on evennumbered years and the license shall expire on May 31 of each even-numbered year.

3. (E) Individuals wishing to reactivate licenses after being carried as retired shall request a petition for renewal from the board. Fees shall be accepted only if accompanied by a completed petition for renewal. Back fees shall not be required for the years the licensee’s records were carried as retired. The petition for renewal shall show, under oath or affirmation of the nurse, a statement:

   1. 1. That the nurse is not presently prac-

ticing nursing in Missouri for monetary compensation; and

1. 2. As to whether the nurse did practice

nursing for monetary compensation while the license was retired and, if so, how long and where. If the nurse was practicing nursing for monetary compensation in Missouri at the time his/her license was retired, s/he also must submit a notarized statement indicating employment dates, employer names and addresses, and an explanation of why the nurse practiced for compensation while the license was retired. In addition, the nurse must cause his/her employer to submit a statement on the employer’s letterhead stationery or a notarized statement indicating that the nurse ceased working as soon as s/he realized that the license was retired.

1. (F) A nurse who petitions for renewal of a retired license, who answers yes to one (1) or more of the questions on the petition which relate to possible grounds for denial of renewal under section 335.066, RSMo, shall submit copies of appropriate documents related to that answer, as requested by the board, before his/her petition will be considered complete. The copies shall be certified if they are records of a court or administrative government agency. If a nurse requesting reinstatement of his/her retired license is denied by the State Board of Nursing based upon the fact that the nurse is subject to disciplinary action under any provisions of Chapter 335, RSMo, the nurse shall be notified of the statutory right to file a complaint with the Administrative Hearing Commission.

AUTHORITY: section 335.036(2) and (7), RSMo Supp. 2007 and sections 335.046 and 335.051, RSMo 2000.* This rule originally filed as 4 CSR 200-4.020. Original rule filed Oct. 14, 1981, effective Jan. 14, 1982. Amended: Filed May 13, 1982, effective Aug. 12, 1982. Amended: Filed Oct. 13, 1982, effective Jan. 13, 1983. Amended: Filed March 15, 1983, effective June 11, 1983. Amended: Filed Sept. 13, 1983, effective Dec. 11, 1983. Amended: Filed May 24, 1985, effective Nov. 11, 1985. Amended: Filed Sept. 13, 1985, effective Dec. 28, 1985. Amended: Filed Aug. 5, 1987, effective Nov. 12, 1987. Rescinded and readopted: Filed Aug. 11, 1989, effective Dec. 11, 1989. Amended: Filed Dec. 13, 1989, effective Feb. 25, 1990. Amended: Filed Oct. 17, 1991, effective April 9, 1992. Amended: Filed March 5, 1992, effective Aug. 6, 1992. Emergency amendment filed May 14, 1993, effective May 24, 1993, expired Sept. 20, 1993. Amended: Filed May 14, 1993, effective Nov. 8, 1993. Amended: Filed June 29, 1993, effective Jan. 13, 1994. Amended: Filed Sept. 7, 1993, effective May 9, 1994. Amended: Filed Feb. 2, 1994, effective July 30, 1994. Amended: Filed Dec. 15, 1995, effective June 30, 1996. Amended: Filed Jan. 29, 1996, effective July 30, 1996. Amended: Filed July 27, 1998, effective Jan. 30, 1999. Amended: Filed May 12, 2000, effective Nov. 30, 2000. Amended: Filed June 28, 2002, effective Dec. 30, 2002. Amended: Filed March 15, 2004, effective Sept. 30, 2004. Amended: Filed July 29, 2005, effective March 30, 2006. Moved to 20 CSR 2200- 4.020, effective Aug. 28, 2006. Amended: Filed May 14, 2007, effective Nov. 30, 2007. Amended: Filed Feb. 29, 2008, effective Aug. 30, 2008. Amended: Filed June 2, 2008, effective Dec. 30, 2008.

*Original authority: 335.036, RSMo 1975, amended 1981, 1985, 1993, 1995, 1999, 2007; 335.046, RSMo 1975, amended 1981, 1995, 1999; and 335.051, RSMo 1975, amended 1981, 1999.