Forms

Nursing Home Administrator licenses expire annually on the last day of March. ALL applicants for license renewal must complete and sign the license renewal form, meet the continuing education requirements, and pay the required renewal fee.

An application will be mailed in January to your last reported address. If you have not received a renewal form in the mail or would like to renew early, you may download and print the 2007 Renewal Form.

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Application Packet Forms

Application Checklist
Application Form
Fee Information Sheet
NAB Examination Booklet
DPS Release of Information
National Release of Information
Statement of Non-Conviction
Verification of Licensure
Application for Licensure by Examination
Examination of Approved Applicants
Application for Licensure by Reciprocity
Fees

Renewal Form [DOC]
This form will open in your word processor, allowing you to fill it in using your computer.

Other Forms

Reactivation from Inactive Status
Reactivation from Expired Status
Complaint