How it works
You need a nomination from a state or territory, or sponsorship by an eligible relative living in a designated regional area. The nomination or sponsorship adds points. You must live, work and study only in designated regional areas.
Why nurses consider it
Regional health services often have strong demand. The 491 can be reachable for applicants whose points are not high enough for the 189. See regional nursing.
Key requirements
- Occupation on the relevant list
- Positive ANMAC assessment
- Competent English or higher
- Age under 45 at invitation
- Points test pass mark including nomination points
Permanent residency
After holding the 491 and meeting income and regional living requirements for the required period, you may become eligible for the Permanent Residence (Skilled Regional) visa, subclass 191. Check the current requirements.
Official sources to check
- Department of Home Affairs: Visa listing
- Home Affairs: SkillSelect
- ANMAC: Skilled migration services
- OMARA: Register of migration agents
Last checked 10 November 2026. If a rule here conflicts with the official page, the official page is correct. Report an error.
