Quick Hits
- Board Meetings
- Consumer Complaint Act of 1997
- Contact Us
- Decisions Pending and Opportunity for Public Participation
- Department of Consumer Affairs
- Disciplinary Guidelines
- Expert Witness Recruitment
- Frequently Asked Questions
- Job Opportunity for Nursing Education Consultant - PDF
- Join Our Email List
- License Fingerprint FAQ
- Mandatory Reporting
- NCSBN - Recruiting NCLEX Item Development Volunteers
- Online License Verification
- PRN Newsletter
Location
Board of Vocational Nursing and Psychiatric TechniciansSuite 205
2535 Capitol Oaks Drive
Sacramento, CA 95833
Phone: (916) 263-7800
Email: bvnpt@dca.ca.gov
Driving Directions
BVNPT Forms and Publications
BVNPT's forms are in the Adobe PDF format or available to submit online, as noted. In order to fill out, view, and print PDF forms, please download and install the most current FREE Adobe Acrobat Reader. Please note that you cannot save the form once it is filled out, you can only print it, sign (if required), and mail to the Board. If you are unable to print the desired form, you can email the BVNPT at bvnpt@dca.ca.gov or call the Board's office at (916) 263-7800 to obtain a hard copy.
Forms
- Address Change Request Form - (55P-4)
- Applicant Live Scan Fingerprint Form
- Application for Psychiatric Technician Licensure by Examination
- Application for Renewal
- Application for Replacement LVN License - (55C-4)
- Application for Replacement PT License - (55CP-4)
- Application for Vocational Nurse Licensure by Endorsement
- Application for Vocational Nurse Licensure by Examination
- Authorization for Release of Confidential Information - (55P-6)
- Authorization for Release of Confidential Medical Records and Information - (55P-5)
- Consumer Complaint Form
- Employer Mandatory Reporting Form
- Employment Verification - Nursing Experience - (55A-12)
- Expert Witness Application
- How To File A Complaint
- License Live Scan Fingerprint Form
- Licensee Mandatory Reporting Form
- Name Change Request Form - (55P-3)
- Notice on Collection of Personal Information For Applicants and Licensees
- PT Employment Verification
Publications
- Approved School Lists
- Disciplinary Action Lists
- Employer Mandatory Reporting
- Fact Sheet (Out-of-State Applicants)
- Initiating A Board Approved Program
- Licensed Vocational Nurse Fact Sheet
- Licensee Mandatory Reporting
- Mandatory Reporting Requirements for Child Abuse or Neglect, Elder Abuse and Dependant Adult Abuse, Performance Requirement and Conscientious Infection Control
- PRN Newsletter
- Psychiatric Technician Fact Sheet
The following PDFs are tri-fold brochures:
- Be Informed About Your Health Care - #1(Rev. 11/28/06)
- Consumer Guide for Hiring LVNs and PTs - #5(Rev. 11/28/06)
- Convictions - Frequently Asked Questions - #3(Rev. 11/28/06)
- Disciplinary Process - Frequently Asked Questions - #4(Rev. 11/28/06)
- Understanding the Disciplinary Process -#2(Rev. 11/28/06)