***The Equivalence Certificate (Gleichwertigkeitsbescheid) is a critical document for foreign-trained nurses in Germany. It confirms that your qualifications are comparable to German standards and allows you to apply for full professional licensure. This article explains its importance, application process, and how to handle partial equivalence.
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Content:

1. What Is an Equivalence Certificate (Gleichwertigkeitsbescheid)?
   The Equivalence Certificate is issued by the recognition authority (AnerkennungsstelleRecognition authority responsible for evaluating foreign professional qualifications.) and confirms that your foreign nursing education and training meet German standards. It is required for permanent licensure (Berufszulassung) and ensures you are qualified to work independently in Germany.

2. Why It Is Important

Confirms that your nursing education is recognized in Germany

Enables application for full professional license (Berufszulassung)

Required for visa and employment permits

Without it, you may only work under a temporary permit (BerufserlaubnisTemporary work permit granted while completing recognition requirements.)

3. Application Process

Step 1: Identify the Recognition Authority
Apply to the AnerkennungsstelleRecognition authority responsible for evaluating foreign professional qualifications. in the German state where you plan to work. Each federal state has its own office.

Step 2: Prepare Required Documents

Passport and proof of residence

Nursing degree and transcripts

Professional license or registration from home country

Work experience certificates

Curriculum or syllabus of your training program

Proof of B2-level German proficiency

Certified translations of all documents

Step 3: Submit the Application
Submit documents by post or online, according to the authority’s instructions.

Step 4: Assessment by Experts
Authorities compare your qualifications with German nursing standards. Outcomes can be:

Full Equivalence: You can apply for permanent license immediately

Partial Equivalence: Additional training (AnpassungslehrgangAdditional training program to bridge gaps for full recognition.) may be required

Step 5: Decision and Outcome
Once evaluated, the authority issues the Gleichwertigkeitsbescheid. This certificate determines whether you qualify for full licensure or need to complete further training.

4. Duration and Fees
   The process typically takes 3–6 months, with fees ranging from €200–€600, depending on your profession and federal state.

5. If Your Qualification Is Not Fully Recognized
   A Deficiency Letter (Defizitbescheid) lists subjects or skills you must complete. After completing these requirements, you can resubmit documents for re-evaluation.