NV.gov
Applications | Forms
Licensing Applications | Forms
|
Application | Form |
For | Paper Format | Online Format |
| Initial Licensing Application | All License Types | Not Available Yet | |
| Initial Licensing Application Guide | All License Types | Not Available Yet | |
| Fingerprint Packet Request Form | All License Types | Online | |
| 2026-2028 Active Biennial License Renewal Application | Dental Hygienists | Online | |
| 2026-2028 Non-Active Biennial License Renewal Application | Dental Hygienists | Online | |
| 2025-2027 Active Biennial License Renewal Application | Dentists | Online | |
| 2025-2027 Non-Active Biennial Renewal Application | Dentists | Online | |
| Dental Hygienist Renewal Guide | Dental Hygienists | Not Available Yet | |
| Dental Specialty License Application (Conversion) | Dentists | Not Available Yet | |
| Reinstatement Application - Reactivate | All License Types | Not Available Yet | |
| Reinstatement Petition - Non-Active | All License Types | Not Available Yet | |
| Reinstatement Petition - Revoked | All License Types | Not Available Yet | |
| HIPPA Form for Licensing | All License Types | Not Available Yet | |
| Certification of Specialty Program Completion | Dentists | Not Available Yet | |
| Certification from Dean of the Dental College | Dentists | Not Available Yet | |
| Limited License Dental Affidavit | Dentists | Not Available Yet | |
| Voluntary License Surrender | All License Types | Not Available Yet | |
| Wall Certificate Order Form | All License Types | NA |
Permit | Certification Applications | Forms
|
Application | Form |
For | Paper Format | Online Format |
| General Anesthesia Admin Permit Application | Dentists | Not Available Yet | |
| Anesthesia Admin Permit Renewal Application | Dentists | Not Available Yet | |
| General Anesthesia Site Permit Application | Dentists | Not Available Yet | |
| Moderate Sedation (13+) Site Permit Application | Dentists | Not Available Yet | |
| Moderate Sedation Admin (13+) Permit Application | Dentists | Not Available Yet | |
| Pediatric Moderate Sedation Admin Permit Application | Dentists | Not Available Yet | |
| Five Year Re-Evaluation Request Form | Dentists | Not Available Yet | |
| License Certification Request Application | All License Types | Not Available Yet | |
| Certification of Proficiency for Local Anesthesia | Nitrous Oxide | Dental Hygienists | Not Available Yet | |
| Local Anesthesia/Nitrous Oxide Permit Application | Dental Hygienists | Not Available Yet | |
| Local Anesthesia/Nitrous Oxide Duplicate Request Form | Dental Hygienists | Not Available Yet | |
| Public Health Special Endorsed Individual Application | Dental Hygienists | Online | |
| Certification of Specialty Program Completion | Dentists | Not Available Yet | |
| Certification from Dean of the Dental College | Dentists | Not Available Yet |
Infection Control Inspection Applications | Forms
|
Application | Form |
For | Paper Format | Online Format |
| Infection Control Inspection Audit Compliance Form | Dentists, Special Endorsed Public Health Endorsed Hygienists | Not Available Yet | |
| Mobile Unit and Portable Dental Equipment - Infection Control Inspection Audit Compliance Form | Dentists, Special Endorsed Public Health Endorsed Hygienists | Not Available Yet | |
| Off-Site Sterilization Inspection Attachment Form | Dentists, Special Endorsed Public Health Endorsed Hygienists | Not Available Yet |
Program Applications | Forms
|
Application | Form |
For | Paper Format | Online Format |
| Public Health Program Application | Public Health Programs | NA | Online |
| Public Health Program Location Notification Report Form | Public Health Programs | NA | Online |
| Public Health Special Endorsed Individual Application | Dental Hygienists | Online | |
| CE Provider Application | CE Course Providers | Not Available Yet | |
| Continuing Education Guide | CE Course Providers | Not Available Yet | |
| Limited License CE Supervisor Form | Dentists | Not Available Yet | |
| License Certification Request Application | All License Types | Not Available Yet | |
| Advanced Education Provider Application | Advanced Education Providers | Not Available Yet | Not Available Yet |
| Permanent Facility Registration Form | CE Course Providers | Not Available Yet |
Additional Applications | Forms
|
Application | Form |
For | Paper Format | Online Format |
| Complaint Form - English | General Public and Licensees | Online | |
| Complaint Form - Spanish | General Public and Licensees | Online | |
| Board Petition Request Form | General Public and Licensees | NA | Online |
| Public Meeting Notification Request Form | General Public and Licensees | NA | Online |
| Public Information Request Form | General Public and Licensees | NA | Online |
| Public Comment Submission Form | General Public and Licensees | NA | Online |
| Fraud | Scam Call Report Form | All License Types | NA | Online |
| Notice of Address Change Form | All License Types | NA | |
| Notifice of Name Change Form | All License Types | NA | |
| Wall Certificate Order Form | All License Types | NA | |
| Credit Card Authorization Form | All License Types | NA | |
| IT Support Request Form | All License Types | NA | Online |