Question about the Status of Your Application for Nursing or Physical Therapy Licensure


Please note that if you have provided an e-mail address on the application form, we will e-mail you with updates on the status of your evaluation. If you did not provide an e-mail address on the application form, you can check the status of your application by clicking here.

Alternatively, please send us a message by filling out the form below (please allow a minimum of 2 business days to hear back from us):

First Name :		(as submitted on application)
Last Name :		(as submitted on application)
IERF File Number :	/ -- ay abz ad ba ck ekt fb gd ghj il tw	(i.e., ##-##### / ##)
Please enter your questions/comments in the space provided below (for questions regarding specific credentials earned, please indicate the name(s) of the qualification(s) in the original language):
Please tell us how to contact you:
Email :
Telephone :
Fax :
Address :
City :
State :	[Choose One] Alabama Alaska Arizona Arkansas Armed Forces Asia Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming (if applicable)
Zip/Postal Code :
Country :	(if outside the U.S.)