Edit, Download, and Sign the Maryland Certified Nursing Assistant Renewal Application

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How do I fill this out?

To fill out this application, start by providing your personal information in the designated fields. Make sure to answer all questions completely and in ALL CAPS using black ink only. Review your completed application thoroughly before submission.

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How to fill out the Maryland Certified Nursing Assistant Renewal Application?

  1. 1

    Gather all required personal information.

  2. 2

    Fill out the application form using ALL CAPS.

  3. 3

    Provide truthful responses to all questions.

  4. 4

    Review your application to ensure accuracy.

  5. 5

    Submit your application and any required documents.

Who needs the Maryland Certified Nursing Assistant Renewal Application?

  1. 1

    Certified Nursing Assistants seeking renewal for their certification.

  2. 2

    Individuals whose CNA certification has been non-renewed.

  3. 3

    Employers needing verified CNA certifications for their staff.

  4. 4

    Nursing programs requiring updated certification status for enrollees.

  5. 5

    Licensing boards needing proof of qualifications for CNA practitioners.

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What are the instructions for submitting this form?

Submit your application by mailing it to the Maryland Board of Nursing at 4140 Patterson Avenue, Baltimore, MD 21215. You can also fax your completed application to 410-585-1993. For inquiries, contact the Board at 410-585-1990 or via email at info@maryland.gov. It is advisable to utilize certified mail for tracking purposes.

What are the important dates for this form in 2024 and 2025?

The Maryland CNA renewal application must be submitted annually before the certification expiration date, which typically falls at the end of each calendar year. Renewals are processed on a first-come, first-served basis, so early submission is encouraged.

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What is the purpose of this form?

This form serves as a formal request for the renewal of Certified Nursing Assistant certification in the state of Maryland. It is essential for ensuring that nursing assistants maintain their qualifications to deliver safe and effective patient care. Completing this application accurately is crucial for uninterrupted employment opportunities in the health sector.

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Tell me about this form and its components and fields line-by-line.

The form includes various fields including personal identification, contact information, practice history, and work details.
fields
  • 1. Last Name: Enter your last name as it appears on your certification.
  • 2. First Name: Enter your first name.
  • 3. Social Security Number: Provide your Social Security number.
  • 4. Date of Birth: Enter your date of birth in the specified format.
  • 5. Certification Number: Enter your CNA certification number.

What happens if I fail to submit this form?

Failure to submit this form results in the expiration of your CNA certification, potentially impacting your ability to work as a nursing assistant. Applications not completed within three months may be discarded.

  • Certification Expiration: Your ability to practice as a CNA will be revoked if your application is not submitted.
  • Legal Consequences: Practicing without a valid certification can lead to legal action.
  • Employment Issues: Employers may require proof of current certification for your employment.

How do I know when to use this form?

Use this form when your CNA certification is nearing expiration or if you have changes in personal or employment details. All nursing assistants must renew their certification periodically.
fields
  • 1. Annual Renewal: Complete this form to renew your certification annually.
  • 2. Name Change: Use this form if you have legally changed your name.
  • 3. Change of Address: Update your address in the records through this application.

Frequently Asked Questions

How do I fill out the CNA renewal application?

Start by gathering your personal and professional information, and then fill out all fields in ALL CAPS. Ensure each question is answered fully for accurate processing.

Can I edit this PDF after downloading?

Yes, use the PrintFriendly editor to modify the PDF as needed before finalizing your submission.

What do I do if I make a mistake?

You can easily correct any errors in the PDF editor before downloading the final version.

Is there a fee for submitting this application?

Yes, please review the fee details within the application instructions.

How can I submit the completed application?

You can submit your application through mail, fax, or online submission depending on the provided instructions.

How long does the renewal process take?

Processing times can vary, so ensure to submit your application well in advance of your certification expiring.

Can I get assistance with filling out the form?

Yes, it's recommended to seek guidance from experienced colleagues or nursing program advisors.

What if my certification was previously inactive?

You will need to follow the non-renewal procedures outlined in the application to reinstate your certification.

Is electronic submission accepted?

Check the latest submission guidelines as e-application processes may be in place.

What should I do if I can't find my social security number?

You may need to contact the Social Security Administration for assistance if you cannot locate it.

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