Get Nursing Assistant Registry Inquiry - Dshs Wa

The Nursing Assistant Registry Inquiry is an essential form for facilities seeking to verify the credentials of nursing assistants in Washington. This guide provides clear and detailed instructions for users to complete the form online effectively.

Follow the steps to complete the Nursing Assistant Registry Inquiry online.

1. Press the ‘Get Form’ button to access the Nursing Assistant Registry Inquiry form and open it in the editing interface.
2. In the 'Facility submitting Inquiry and Needing Inquiry Response' section, fill in the facility name, contact person, telephone number, and fax number.
3. If you prefer to receive results via email, please provide the email address in the designated space.
4. Complete the address section, including the street address, city, state, and ZIP code.
5. In the 'Employee’s Name' field, enter the last name, first name, and middle initial of the individual you are inquiring about.
6. Provide the date of birth of the employee in the MM/DD/YY format.
7. Enter the social security number of the employee, following the specified format.
8. If the employee is new and has no previous caregiving experience, write 'New Employee' in the previous NAC caregiving employer section.
9. Fill in the NAC or NAR credential number if available.
10. Document the previous employer's name, the first date employed, and the last date employed by the nursing assistant.
11. Review all entered information for accuracy.
12. Once completed, you can save the changes, download, print, or share the form as needed.

Complete your Nursing Assistant Registry Inquiry online today.