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  • Ky Nurse Aide Registry Renewal Form

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SOCIAL SECURITY NUMBER STREET OR RURAL ROUTE CITY STATE ZIP CODE DATE OF BIRTH (MM/DD/YY) HOME TELEPHONE NUMBER (INCLUDE AREA CODE) YES NO HAVE YOU EVER BEEN PLACE ON A N.

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Go to Kentucky Board of Nursing website and check for the validation of license.

Go to Other Applications on the Nurse Portal Dashboard. Choose SRNA - Request a Name Change....Submit a copy of one of the required legal name change documents with the form if you are changing your name: Marriage certificate. Divorce decree showing the legal name change. Court order. ï‚§ Social security card.

To apply; Fill out the Kentucky Reciprocity Application and the KRED Reciprocity Form. Attach supporting documentation. A copy of basic training graduation certificate. A copy of basic training transcript listing each individual class completed in basic training and the individual clock hours per class.

If you do not renew your license during the annual renewal period, your license will lapse. If you wish to practice in Kentucky, you will be required to apply for reinstatement. You will not be able to work as a nurse until your license is reinstated.

KBN Office: 502-429-3300 or 1-800-305-2042 (Toll-Free) Kentucky Nurse Aide Registry Fax Number: ​502-429-1247 (Louisville Exchange) General Fax Number: 502-429-3311 (Louisville Exchange)

Go to Kentucky Board of Nursing website and check for the validation of license.

However, you may reinstate your registry status if you can provide evidence that you were employed in a nursing-related capacity for at least eight paid hours prior to the expiration date. If you cannot show such proof of employment, contact KCTCS to retake the nurse aide classes and competency test.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232