Edit, Download, and Sign the Arkansas Nursing Assistant Registry Renewal Form
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To fill out this form, gather all required information beforehand. Complete each section carefully, ensuring all mandatory fields are filled. Double-check for any errors before submission.
How to fill out the Arkansas Nursing Assistant Registry Renewal Form?
1
Gather all required personal and employment information.
2
Complete all fields marked with an asterisk.
3
Ensure legal documents are ready if your name has changed.
4
Review the form for accuracy and completeness.
5
Mail the signed form to the provided address.
Who needs the Arkansas Nursing Assistant Registry Renewal Form?
1
Current nursing assistants renewing their certification.
2
Individuals who have changed their legal name and need to update records.
3
Nursing assistants who have previously worked but need to reinstate their license.
4
Employers seeking to verify current nursing licenses of staff.
5
Training programs requiring documentation for its students.
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What are the instructions for submitting this form?
Submit your completed Arkansas Nursing Assistant Registry Renewal Form by mailing it to Prometric at 7941 Corporate Drive, Nottingham, MD 21236. Ensure to attach any legal documentation if you’ve changed your name. For any additional queries, visit the Prometric website or contact their support.
What are the important dates for this form in 2024 and 2025?
The Arkansas Nursing Assistant Registry Renewal Form must be submitted ahead of your certification expiration date. Regularly check with state resources for any updates in processing timelines for 2024 and 2025.
What is the purpose of this form?
This form serves the primary purpose of renewing the Arkansas Nursing Assistant certification. It is essential for individuals who have continued to work as nursing assistants and need to maintain their licenses. Additionally, the form provides a mechanism for updating personal information and ensuring that all records are current and accurate.
Tell me about this form and its components and fields line-by-line.
- 1. Social Security Number: A unique identifier required for processing.
- 2. First Name: The applicant's given name.
- 3. Middle Initial: The applicant's middle initial, if applicable.
- 4. Last Name: The applicant's surname.
- 5. Date of Birth: The applicant's birth date.
- 6. Former Name: Previous name, if applicable.
- 7. Address: The applicant's residence information.
- 8. County: The county of residence.
- 9. Phone Number: A contact number for communication.
- 10. Email Address: Necessary for processing confirmation.
What happens if I fail to submit this form?
Failure to submit this form on time can result in a lapse of certification, affecting your ability to work as a nursing assistant. Incomplete or inaccurate forms will delay the processing, potentially leading to denial of renewal.
- Processing Delays: Incomplete forms result in extended waiting times for renewal.
- Denial of Renewal: Failure to adhere to submission guidelines may lead to certification denial.
- Legal Implications: Working without a valid certification can have legal consequences.
How do I know when to use this form?
- 1. Renewal of Certification: To maintain valid status as a nursing assistant.
- 2. Updating Personal Information: To update records regarding name or address changes.
- 3. Verification for Employers: To confirm current certifications for employment.
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What information do I need to fill out?
You will need personal details, employment history, and any legal documents if your name has changed.
Is there a fee to renew my certification?
No, the state of Arkansas does not require a renewal fee for nursing assistants.
How do I submit the completed form?
Mail your completed form to Prometric at the specified address in the instructions.
What if I forgot to fill out a section?
Incomplete forms cannot be processed, so ensure all fields are filled before submission.
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