Get Verification Of Out-of-state Nurse Aide Registration - The Tennessee ... - Health State Tn

Filling out the Verification Of Out-Of-State Nurse Aide Registration form is a crucial step for those seeking to register as a nurse aide in Tennessee. This guide offers a clear, step-by-step approach to help you complete the form accurately and efficiently.

Follow the steps to complete the form correctly.

1. Click ‘Get Form’ button to obtain the form and open it in the editor. This action allows you to access the necessary documentation for your application.
2. In Part I of the form, fill in your social security number, birth date, sex, race, and full name. Ensure that all details are complete and legible to avoid rejection of your application.
3. Provide your current address, including street, city, state, and zip code, as well as your phone number. Double-check for any errors to ensure accurate communication.
4. Indicate your height and eye color. Answer the question about your current employment status as a nurse aide, and specify the state(s) where you are registered.
5. Respond to the questions regarding any past convictions or ongoing investigations related to abuse or neglect. If applicable, provide explanations in the space provided.
6. Sign the form to certify that your information is correct. This step is vital as it confirms your acknowledgment of the details provided.
7. In Part II, attach a copy of your social security card and a photo identification. Ensure these documents are clearly visible and not obscured.
8. Prepare the form for submission by mailing it to the Tennessee Department of Health, Nurse Aide Registry at the specified address. Make sure to use appropriate postage.
9. Once mailed, keep a copy of the completed form and the attachments for your records. Monitor your application status if possible.

Complete your documents online to ensure a smooth registration process.