Application & Forms

Recertification Application

When applying online, you will need to have the following information at hand:

  • Your CPAN® and/or CAPA® credential (certification) number (located on your ABPANC wallet identification card)
  • Your ASPAN membership number if you wish to receive the ASPAN member fee discount (your ASPAN membership must be current to receive the ASPAN member fee discount)
  • Your RN license number and expiration date
  • Your credit card information

All recertification candidates will need to complete contact information for two individuals able to verify that you have met the RN Licensure and Clinical Practice Requirement. These individuals will only be contacted if you are selected for audit.

Click Here to Recertify Online

Recertification Handbook and Forms

Please use the most recent Recertification Handbook listed below:

Recertification Handbook (pdf)
Appendix A – Verification of Continuing Education Attendance Form (pdf)
Appendix B – Verification of Presentation/Teaching Activity Form (pdf)
Appendix C – Verification of Author Activity Form (pdf)
Appendix D – Verification of Quality Care Activity Form (pdf)
Appendix E – Verification of Precepting Activity Form (pdf)
Appendix F – Verification of Research Activity Form (pdf)
Appendix G – Verification of Involvement in Professional Organization Form (pdf)
Appendix H – Verification of Legislative Activity Form (pdf)
Appendix I – Verification of Community Service Activity Form (pdf)

Recertification Scholarships

For additional information about the Recertification program, contact ABPANC at:

1133 Broadway, Suite 544
New York, NY 10010
Phone: 1-347-708-7975