The following are required components of the Specialty Nursing Application Packet; it will not be considered complete if any are omitted:

• 1. A completed, signed, and dated ANCC Certification application.
• 2. Applicants for the Psychiatric & Mental Health certification must also submit Form C--Statement of Clinical Supervision and Endorsement of Candidate for Certification as a Psychiatric & Mental Health Nurse.
• 3. A completed Form D--Professional Development Record showing the required contact hours.
• 4. Check or money order payable to ANCC or complete the credit card information section on the application form. Calculate your fees using the fee schedule here.
• 5. Completed, signed and dated ANCC Certification Application Checklist.
• 6. Optional components of the application:
  • Verification of Eligibility to Test
  • Verification of Certification
  • Special Accommodations Request; if applicable, see links at right.