Maine Registry of Certified Nursing Assistants (CNA Registry)

Notice: To report complaints of abuse, neglect, or misappropriation call the complaint line: 1(800)383-2441

Applications Forms

Hardcopies of the following forms are available by calling the CNA Registry at 624-7300 or send your request via e-mail to: dlrs.cnaregistry@maine.gov:

  • Bridge Examination application form
  • CNA-M application form
  • Application for CNA (Word*) | also in PDF*
  • Competency testing application form
  • Confirmation of Listing on the Registry form
  • Petition for Removal of a Finding of Neglect form
  • Provider Confirmation of Hire or Termination of CNA form
  • Reciprocity form
  • Renewal form
  • Request for Temporary Listing on the Registry form