We are now accepting submissions for Summer 2024.
Deadline is September 15th, 2024

Complete this survey if you want to receive a cash incentive payment for your time and effort in precepting a nursing student.

Payments can take up to 8-10 weeks after each reimbursement cycle deadline.

For information about deadlines, how to apply for a Statewide Vendor Number, or for help completing this form please visit the Preceptor Program Webpage at: https://nursing.wa.gov/education/student-nurse-preceptor.

  • Deadlines apply for all submissions and submissions after the deadline cannot be processed.
  • Apply for a Statewide Vendor Number at the beginning of the preceptorship.
  • Submit form as soon as you complete 80 hours of preceptorship.
  • It is the responsibility of the preceptor to complete and submit the form by the deadline.
  • Answer every question unless listed as optional.
  • Out-of-state nursing program students are not eligible for reimbursement, even if the clinical hours take place in Washington.
  • You must be an LPN, RN, or ARNP to qualify for reimbursement.

Reimbursement Cycles
We are currently accepting reimbursement submissions for the Summer 2024 cycle.

**Duplicate submissions may cause delay in payments.

Question Title

* 1. Statewide Vendor Number (SWV) (Required)

To qualify for reimbursement, you must have a Personal Statewide Vendor Number.

If you do not have a Statewide Vendor Number, do not proceed with this application.

To apply for your Statewide Vendor Number, click on the following Link: Vendor payee registration | Office of Financial Management (wa.gov).

  • Each preceptor must have a personal SWV number, we cannot make payments to a business even if you are the business owner.
  • We DO NOT accept business or DBA (Doing Business As). Please use your SSN when registering for a SWV.
  • If you are not sure of the status of your vendor number, please contact the Office of Financial Management
    • Statewide Payee Desk
      360-407-8180 ext 5
      360-664 3363 (Fax)
      PayeeRegistration@ofm.wa.gov
  • For Statewide Vendor Number look up, use this link, Statewide vendor number lookup | Office of Financial Management (wa.gov)
Tips on Registering for your Statewide Vendor Number (wa.gov)

Note: Please do not put down your SSN, Healthcare License Number, or Phone number. We will cannot process your reimbursement without a SWV from OFM.

Example: SWV0123456-00

Question Title

* 2. By typing my full name, I am electronically signing and attesting that the information provided above regarding my personal Statewide Vendor Number is accurate and valid. I understand that my payment will be delayed without a valid personal Statewide Vendor Number.

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