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Nursing Home Administrators Licensing Board - Applications & Forms

Applications

• Nursing Home Administrator Application
• Administrator-In-Training Application
• Temporary Nursing Home Administrator Application
• Endorsement ("Reciprocity" / "Comity") Application
• Multi-Level Long Term Care Facility Administrator Application
• Residential Care Facility Administrator Application

Forms

• 2008 Exam Notice
• Notice to all applicants regarding HIPDB reports
• CEU Post-Approval Request form
• Credit Card Authorization Form
  To authorize payment of fees by Visa or MasterCard.

 

If you cannot find what you are looking for, click HERE to send an e-mail message to the Nursing Home Administrators Licensing Board.

 

Last Updated: September 12, 2008

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• CRIMINAL BACKGROUND CHECK - Effective July 1, 2008 the Criminal Background Check fee will increase from $15.00 to $21.00.
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• Notice Regarding State Written Examination - 2009
• 2008-2009 Deemed Status List

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