Get Hawaii Cna Reciprocity Form 2020-2025

Filling out the Hawaii CNA Reciprocity Form online is a straightforward process that ensures your application is complete and accurate. This guide will provide step-by-step instructions to help you successfully navigate each section of the form.

Follow the steps to accurately complete the Hawaii CNA Reciprocity Form.

1. Click ‘Get Form’ button to obtain the form and open it in your document management system.
2. Begin by entering your candidate information clearly in the designated fields. This includes your last name, first name, middle initial, and address. Ensure that the name matches exactly with the government-issued identification you will present on testing day.
3. Provide your social security number, date of birth, and contact information, including your home phone number and email address. This information is essential for communication regarding your application.
4. If you previously tested or were certified in Hawaii, specify whether you have changed your name. If so, enter your previous name and be prepared to submit legal documentation that confirms the name change.
5. Confirm your eligibility by answering questions regarding your gender and citizenship status, and indicate if you are at least 18 years old.
6. Select your certification option by checking the appropriate box. Depending on your route, you may need to attach supporting documents such as your current state CNA certificate or training completion documents.
7. Complete the training information section if you selected the relevant certification route. Include the training completion date, total hours, name of the training program, and the mailing address of the training program.
8. Answer the additional mandatory questions. This section requires you to respond to questions about past criminal convictions and disciplinary actions. If applicable, provide detailed explanations on a separate page.
9. Complete the reciprocity information section, if applying through that route. Include your current certification number, certification date, and employer's address if you are currently working as a nurse aide.
10. Select your preferred examination site option and provide the necessary test site information as directed.
11. Review the fee structure related to your application. Mark the applicable fee for your selected services and determine your payment options, including details required for credit card payments.
12. Read and acknowledge the applicant's affidavit and candidate release statement. Provide your signature and the date to confirm your understanding of the responsibilities involved.
13. Finally, if currently employed, fill in your employer’s information. Ensure you have reviewed all sections of the form for completeness before submission.
14. Save any changes made to the form. You may download, print, or share the completed application as required for submission.

Ensure your documents are ready and complete. Start filling out the Hawaii CNA Reciprocity Form online today!