Application Packet Request



This service is for individuals who wish to receive an application packet for their own use in applying for licensure or certification in the state of Nevada. Application packet requests from facilities and agencies, as well as individual requests for multiple applications, must be made by completing a bulk application request form. Click here for a PDF file of the request form that you may print, complete, and fax or mail to the address on the form.

Enter Your Mailing Address

Address 2

Select the type of application you would like mailed to you.

Application Packet TypeDescription
FP CardsForm FD-258 fingerprint cards, if you have been notified that you must print on renewal