Get Ne Application For Nurse Aide Registry By Interstate Endorsement 2022-2025

Completing the NE Application for Nurse Aide Registry by Interstate Endorsement online is essential for nurse aides from other states looking to work in Nebraska. This guide provides clear, step-by-step instructions to help you navigate the process effectively.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin filling out personal information. Provide your name, including your last, first, and middle names. Ensure accuracy as this information will be crucial for identification.
3. If applicable, enter your maiden name or any previously used names in the designated field.
4. Complete your mailing address, including street address, apartment number (if any), city, state, and zip code.
5. Provide an email address and a telephone number where you can be reached.
6. Input your Social Security number in the required field. This information is necessary for processing your application.
7. Enter your date of birth and place of birth, including city and state.
8. Specify the name of the facility or college where you completed your nurse aide training course, along with the city and state.
9. Indicate the total number of course hours you completed in your training program.
10. State whether you have passed the required exams. If yes, specify the state in which you passed them.
11. Fill out the information regarding the state from which you are seeking reciprocity and provide your registration or certification number from that state.
12. List any other states where you have been approved or worked as a nurse aide, including the dates of approval or dates worked, alongside your certification numbers.
13. Answer whether you have tested or been employed as a nursing assistant in the past 24 months and provide the names and contact information of your employers during this period.
14. Sign and date the application to authorize DHHS to request your nurse aide registry status from the identified states and employers.
15. Review all sections to ensure completeness and accuracy before submission.
16. Once satisfied with the form, save changes, and proceed to download, print, or share the completed form as needed.

Complete your NE Application for Nurse Aide Registry by Interstate Endorsement online today!