Get Fl Dh-mqa 1120 2020-2026

The FL DH-MQA 1120 form is essential for individuals seeking licensure as a nurse in Florida. This guide provides a detailed, step-by-step approach to assist users in successfully completing and submitting the form online.

Follow the steps to fill out the FL DH-MQA 1120 online effectively.

1. Click the ‘Get Form’ button to access the FL DH-MQA 1120 form and open it for editing.
2. Begin by providing your personal information in Section 1, including your full name, date of birth, and mailing address. Ensure all details are accurate and reflect your identification.
3. In Section 2, input your Social Security number. Note that this information is required for your application process.
4. Indicate if you require special testing accommodations in Section 3. Be prepared to provide necessary documentation if this applies to you.
5. Complete Section 4 regarding the Nurse Licensure Compact, confirming your primary state of residence and whether you hold an active multistate license.
6. In Section 5, provide your background information, including any previous names and nursing licenses held. This is critical for processing your application.
7. Fill out the education history in Section 7, detailing the nursing school you attended, including the graduation date and degree awarded.
8. If applicable, complete the examination history in Section 9, listing all nursing licensure examinations you have taken and their outcomes.
9. Assess your health history in Section 10 and disclose any conditions that might affect your ability to practice safely.
10. In Section 11 and 12, provide any necessary criminal and discipline history, being transparent about any past issues.
11. Complete Section 13 regarding criminal and Medicaid/Medicare fraud questions, verifying your eligibility based on felony convictions.
12. Review your application details to ensure accuracy and consistency, as discrepancies may cause delays.
13. Finalize your application by signing in Section 16 and date it appropriately. Choose to submit electronically or print for manual submission.

Start filling out your FL DH-MQA 1120 online today to ensure a smooth licensure process!