All forms are provided in an active Word format to allow for electronic completion. Download and save the applicable forms to your computer before completing. IEA applicants should not utilize forms/documents from the Approved Provider (AP) webpage.

Required Forms for IEA application:

• IEA Application Instruction Manual NEW Jan, 2022
• IEA Application NEW Jan, 2022
• Disclosure Information Collection Form New Jan 2022 – Contact WNA for other acceptable options
• Nurse Planner Mitigation Worksheet NEW Oct 2021
• Commercial Support Agreement (if applicable to your educational activity) New Jan, 2022

Optional IEA Forms:

• Biographical Data Form
• Education Planning Table
• IEA Joint-Provider Agreement