Get Michigan Cna Reciprocity Form

Filling out the Michigan Cna Reciprocity Form online can be straightforward when you know the steps. This guide provides clear instructions to help you complete the form with confidence, ensuring you have all the necessary information to submit your application successfully.

Follow the steps to complete the Michigan Cna Reciprocity Form online.

1. Press the ‘Get Form’ button to retrieve the form and open it in your preferred editor.
2. Begin by entering your candidate information. Ensure that all fields marked with an asterisk (*) are filled out accurately. This includes your name, Social Security number, date of birth, and contact information.
3. If you have ever taken a Certified Nurse Aide exam with Prometric, indicate 'Yes' or 'No' in the designated section.
4. Complete the certification option/eligibility section by selecting the appropriate route: Newly Trained Tester, Lapsed Candidate, or Reciprocity, and provide any necessary details.
5. In the training information section, enter your Training Program Code and provide the name and mailing address of your training program if applicable.
6. Choose your preferred test site by selecting either testing at your facility or a regional test site. If you select the regional test site, make sure to enter the test site code.
7. Fill out the exam selection and processing fees section. Carefully calculate the total fee based on your selected options, and remember to include the required payment form.
8. Complete the Applicant's Affidavit and Candidate Release Statement to confirm that all information provided is accurate and true. Sign in the designated box.
9. Double-check all filled fields for accuracy and completeness before saving your changes. You can also download and print a copy of your completed form for your records.
10. Finally, submit your application along with all supporting documents to the address provided for the Prometric MI Nurse Aide Program. Ensure all forms are original and legible.

Submit your Michigan Cna Reciprocity Form online today to take the next step in your nursing career!