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Get Arkansas Nursing Assistant Registry Renewal Form - Prometric

Ge. Remember to sign the form on the reverse side. Current Information: Current Registration Expires: Social Security Number: Eligibility for Renewal You are eligible to renew your certificate if you have worked as a nursing assistant performing nursing or nursing-related services for pay for at least eight consecutive hours within the immediate 24-month period prior to your current registry document expiration date. Nursing assistants with employment restrictions on the registry for resident.

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