Report Your Termination or Suspension

Reporting a Termination or Suspension

Employer/Manager Name:

Employer/Manager Phone Number:

Employer/Manager Email Address:

Facility/Workplace:

LPN Name:

LPN Registration Number:

Click here to find the LPN Registration Number

Was the LPN terminated or suspended?

Date the LPN started employment:

Date the LPN was terminated or suspended:

Reason for termination or suspension:

Please upload a Letter of Termination, if applicable.

Maximum upload size: 268.44MB

Did you, or do you plan to submit a complaint to the SALPN about the LPN’s practice?

Yes

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LICENSE & RENEWAL

INDEPENDENT PRACTICE

CONTINUING EDUCATION PORTFOLIO (CEP)

COMPLAINTS, INVESTIGATION & DISCIPLINE

ADDITIONAL SERVICES

GENERAL INFORMATION

APPLICATION PATHWAYS

LPN PRACTICE

PRACTICE SUPPORTS

EMPLOYER & EDUCATOR RESOURCES

COMPLAINTS, INVESTIGATION AND DISCIPLINE

ABOUT SALPN

PEOPLE

DISCIPLINE

COMMUNICATIONS

OTHER

Report Your Termination or Suspension

Public Protection

ABOUT SALPN

OTHER

LEGAL REQUIREMENTS OF LPN PRACTICE

LICENSE & RENEWAL

Practice SupportS

INDEPENDENT pRACTICE

CEP

complaints, INVESTIGATIONS & DESCIPLINE

additional SERVICES

General Information

APPLICATON PATHWAYS

LPN PRACTICE

PRACTICE SUPPORTS

COMPLAINTS, INVESTIGATION AND DISCIPLINE

EMPLOYER Resources

ABOUT SALPN

PEOPLE

DISCIPLINE

COMMUNICATIONS

OTHER