Wisconsin Department of Safety and Professional Services
Health & Business Renewal Application
Application Status Query
Instructions:
Please allow one hour after receipt of your status update email for the updates to be reflected in the online checklist.
Please verify the checklist information below, including your address. If your address has changed, please
e-mail
your application number, name, profession, along with your old and new address. The Credentialing department posts status information following receipt and review of application materials.
As of
:
12/22/2022
Application#
:
521358
Name
:
Garwo, Esther N
Profession
:
Registered Nurse
Address
:
Madison, WI
Application Status
:
Withdrawn (Abandoned)
Requirements Not Met:
Description
Status
Comments (Please note, not all requirements will include comments)
PAGE 3 and 4 All questions answered and relevant copies attached.
Not Met
4/12/22: Application is over 1 year old or more and needs to be updated. Please download application form #3087 https://dsps.wi.gov/Credentialing/Health/fm3087.pdf .Complete application in its entirety and submit to our department. Please put 'UPDATE’ with your application ID number on top of application prior to submitting. You do not need to resubmit any fees with the application update. Update can be emailed to DSPSCredNursing@wi.gov or faxed to 608-251-3036 Attn: Nursing
------- KG
04/02/18: Form #2687 received.
-------------- CH
Eligible to Take NCLEX
Not Met
12/27/23: No show to recent exam date. You MUST REREGISTER and pay a $200 fee to PearsonVue in order for us to make you eligible to test. You can register online at http://www.vue.com/nclex or call 1-866-496-2539. After you have registered & paid, please upload a statement to the documents section of your application letting us know you have reregistered with Pearson Vue. – KG
12/22/22: Rec’d form #1055 & fee. You have been made eligible to test for NCLEX. You will receive scheduling information from the testing company within a few days via the email address you provided to the testing company. ---KG
2/14/22: Rec’d form #1055 & fee. Please register and pay the $200 fee to PearsonVue so you can be made eligible to test. When reviewing/updating your file, your name didn’t appear on PearsonVue’s site as having registered/paid. Register online at http://www.vue.com/nclex or call 1-866-496-2539. After you have registered & paid, please let us know via email to dspscrednursing@wisconsin.gov. PLEASE DO NOT call to update this information. --NT
7/23/21: NCLEX results have been emailed to email address on file; To apply for retake, you need to obtain, complete & submit form #1055 available on our website at https://dsps.wi.gov/Credentialing/Health/fm1055.pdf We cannot make you eligible to test until this form has been received with the $15.00 retake fee & you have re-registered with Pearson Vue. – EOY
6/29/20: You have been made eligible to test for NCLEX. You will receive scheduling information from the testing company within a few days via the email address you provided to the testing company. If the first and last name on your ATT does not match the ID you will be using at the testing site, please email corrections to DSPSCredNursing@wi.gov. Middle names and addresses do not need to match. – KG
6/18/20: Rec’d form #1055 & fee. Please register and pay the $200 fee to PearsonVue so you can be made eligible to test. When reviewing/updating your file, your name di
NCLEX results
Not Met
Requirements Met:
Description
Status
Comments (Please note, not all requirements will include comments)
PAGE1 Applicable Blanks completed
Met
Application Fee
Met
04/02/18: Updated application form received. $180
Primary State of Residence
Met
12/22/22: Applicant requests single state license ---KG
09/04/20: Emailed Applicant Fingerprint Instructions--KG
04/02/18: Wisconsin has entered the Enhanced Nurse Licensure Compact. Therefore, if you want to be reviewed for a Multi-State status you must obtain digital fingerprints, schedule an appointment with Fieldprint via their website http://www.FieldprintWisconsin.com. Use the Fieldprint code ‘FPWIPhysician’ when prompted and account number G3448 when prompted. The cost for the digital fingerprints will be $34.74 and is expected at the time of your reservation. If you live outside of Wisconsin, you may electronically submit fingerprints at any Fieldprint site near you. In addition to obtaining fingerprints, you will need to complete the Authorization for Release of FBI Information (Form #2687) and email it to DSPSCREDNursing@wi.gov or fax to 608-261-7083.
------------------- CH
04/02/18: Updated application form received.
------------------- CH
PAGE 2 List all professional and non professional activities and list every state that you have ever held a license in.
Met
Certification of Legal Status Completed
Met
PAGE 5 Affidavit of applicant signed.
Met
Social Security Number
Met
Statement of Graduation from your school
Met
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