DSPS Licensure Backlog Survey Health Care Professional Licensure Concerns Do you currently have any healthcare personnel awaiting licensure approval from the state's licensing agency, DSPS? For example, do you have an out-of-state nurse waiting on their WI license in order to start working Or, do you have a new graduate nurse experiencing difficulties getting approval to sit for their NCLEX or receive their temporary permit?(Required) Yes No If yes, what license are they seeking?(Required) RN LPN NHA OT PT Select all that apply if facility has several HCP awaiting licensure processing. Please add name, date of birth, and specific license type (as noted above) for any/all experiencing licensure issues/delays. Please include application number if available.(Required)Please explain in more detail the delay timeframe, including initial application date, subsequent contacts with DSPS licensure staff, etc.(Required)Best facility contact person(Required) Name of facility/organization(Required) Contact person email address(Required) Enter Email Confirm Email Contact person phone number(Required) Name of person completing this form(Required) Email address of person completing this form(Required) Enter Email Confirm Email Δ
