MQA/CNA Program 4052 Bald Cypress Way BIN #C13 Tallahassee, FL 32399-3263 Topeka, KS 66612-1290 (785) 296-6877 FAX: (785) 296-3075 KENTUCKY Nurse Aide Registry
The only acceptable forms of identification for test centers in the U.S.* are: • U.S. driver's license (Department of Motor Vehicle-issued) (if expired, a renewal slip that contains a photograph and a signature must be presented in order to be admitted) • U.S. state identification (Department
Who completes the criminal background check verification? driver’s license, DOB. If applicant lived in Certified Nurse Aide CNA Date of Birth DOB
Send official verification of this directly to the Board of Nursing prior to certification expiration date. E-mail email@example.com All nursing license categories (LPN, RN, ARNP) need to be
Please check the Pennsylvania Board of Nursing verification website to see if a license has been issued at KS KY LA ME MD MA MI MN SEE INSTRUCTIONS MS MO MT NE NV NH NJ
Topeka, KS 66612 Tel: 785.296-4929. Web: www.ksbn.org MINNESOTA Minnesota Board of Nursing Nevada State Board of Nursing License Certification & Education. 4330 S Valley View Blvd – Suite 106
Topeka, KS 66612 . Phone: 785-296-0959 Fax: 785-296-0852 . Contact: Bill Dechand, Application must show license verification. Texas . Texas Board of Occupational Therapy Examiners
N u m b e r, attach a copy of a document that pro v e s the correct information (for example, driver’s license, Social Security card, etc.). Wisconsin Nurse Aide Program
Hillsboro, KS 67063 The Civil Rights Act of 1964 prohibits discrimination in employment Title and Number of license or certification (CNA, RN, LPN, or other) _____ If you are under 18 years of age, can you provide age verification?
CNA registry verification can be made at: www.prometric.com/nurseaide/DE Certified Nursing Assistant Registry . 4052 Bald Cypress Way, BIN C-13 Users will need to click on "General License Information"
Rhode Island: Photocopy of photo ID (driver’s license), release form that you have signed and notarized saying you are requesting a BCI check from the Department of the Attorney General, Self-Addressed Stamped Envelope, and $5.00 personal check (made out to BCI) or money order.
Where you hold or have held a license in the last five (5) years, as well as verification from your state of original licensure. License Type
600 Roosevelt, Coffeyville, KS 67337 Verification of an active CNA certification (or active Kansas LPN license), this includes placing a copy of your certificate or license in the completed packet.
In the following states: IN, KS, NY, PA, VA, WI Steve Little, Underwriting Consultant (312) 822-4031 firstname.lastname@example.org Tim Vlazny •Verification of active state medical license (copy of the applicant’s state
Road, Suite 308 Wilmington, DE 19806 Verification: 302-577-6666 Fax: 302-577-6672 CNA registry verification can Washington, DC 20049 202-434-2120 Fax: 202-434-6595 Florida Department of Health MQA/Certified Nursing Assistant and Environment Health Occupations Credentialing 1000 SW Jackson Suite 200 Topeka, KS
CNA registry verification can be made at: www.hdmaster.com MQA/Certified Nursing Assistant Program 4052 Bald Cypress Way Users will need to click on "General License Information"
Issue a license without examination to a qualified PT/PTA Topeka, KS 66603 Phone: 785-296-7413 Fax: 785-296-0852 must submit verification of having successfully
The Turks and Caicos Islands lie southeast of Mayaguana in the Bahamas island chain and north of the island of Hispaniola. Cockburn Town, the capital since 1766, is situated on Grand Turk Island about 1,042 kilometres (647 mi) east-southeast of Miami in the United States. The islands have a
You can show your intentions to become a legal resident by registering to vote in the new state, by titling and registering your car in the new state (notifying your old state of the change), by getting a driver's license in the new state, or by preparing a new last will and testament (indicating