Get Interstate Application - Kdads

Filling out the Interstate Application for the Kansas Department for Aging and Disability Services (KDADS) can seem daunting at first. This guide will provide you with clear, step-by-step instructions to complete the form accurately and efficiently in an online format.

Follow the steps to complete the Interstate Application - KDADS

1. Click ‘Get Form’ button to access the application form and open it for editing.
2. Begin by entering your personal details. Include your last name, first name, middle initial, social security number, and date of birth in the specified fields.
3. Provide your home address, including street, city, state, and zip code. Make sure the information is accurate.
4. Specify your phone numbers by including both a home and a cell number in the provided fields. Also, input your email address.
5. Select your preferred method of receiving your approval letter by marking either 'Mail' or 'Email'.
6. List all states where you have worked as a nurse aide, starting with your most recent employment.
7. Under Certification Information, enter your original certificate number, date issued, and state that issued the certificate, as well as your certificate expiration date.
8. Choose your test site preference by selecting one location from the list provided.
9. Read the statement regarding the accuracy of the information supplied in your application. Sign the application to attest that the information is complete and accurate.
10. Attach a copy of your identification that includes your current name and social security number, and a non-refundable application fee of $20.00.
11. Review your application for errors or omissions, then save your changes. You can print or download the completed form for submission.
12. Submit the completed form along with the attachments by mailing them to the KDADS address provided.

Complete your Interstate Application online today to ensure efficient processing!