New York Nursing Assistant Registry Renewal Form
This file contains the essential details and instructions for renewing your New York Nursing Assistant certification. It outlines the requirements, eligibility criteria, and payment options. Follow the guidelines carefully to avoid delays in your application.
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How do I fill this out?
Filling out the renewal form is straightforward. Ensure you have all necessary documents and information ready before you begin. Pay close attention to each section for a smooth process.
How to fill out the New York Nursing Assistant Registry Renewal Form?
1
Download the renewal form from the official website.
2
Fill in all required fields, ensuring accuracy.
3
Attach necessary documentation if applicable.
4
Include a payment of $40 as specified.
5
Mail the completed form to the appropriate address.
Who needs the New York Nursing Assistant Registry Renewal Form?
1
Nursing assistants looking to renew their certification.
2
Employers needing to verify employee credentials.
3
Training programs requiring student certifications.
4
Health care facilities updating staff qualifications.
5
Individuals changing their legal names needing to update records.
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What are the instructions for submitting this form?
To submit this form, please mail it to Prometric at Attn: NY Nurse Aide Registry Renewal, 7941 Corporate Drive, Nottingham, MD 21236. Include your $40 money order and ensure all required documents are attached. For any queries, follow up through the official website.
What are the important dates for this form in 2024 and 2025?
Important dates regarding the renewal process can vary, please check with the Prometric website for the latest information as 2024 and 2025 deadlines are updated regularly.
What is the purpose of this form?
The purpose of this form is to facilitate the renewal of your New York Nursing Assistant certification. It ensures that all nursing assistants meet the required standards for continued practice. Accurate completion and submission help maintain compliance with state regulations.
Tell me about this form and its components and fields line-by-line.
- 1. Social Security Number: A unique number assigned to individuals for identification.
- 2. First Name: The applicant's given name.
- 3. Last Name: The applicant's family name.
- 4. Date of Birth: The applicant's birth date.
- 5. Street Address: The residence address including apartment number.
- 6. County: The county of residency.
- 7. City: City of residence.
- 8. State: State of residence.
- 9. ZIP Code: Postal code for the residence.
- 10. Daytime Phone Number: Contact number including area code.
- 11. Email Address: Required for communication.
- 12. NYS Nurse Aide Certification Number: The certification number assigned to the nursing assistant.
What happens if I fail to submit this form?
Failure to submit this form can lead to a lapse in certification, affecting your ability to work as a nursing assistant. It may result in additional follow-up requirements from the registry. Always ensure to provide complete and legible information.
- Application Delays: Incomplete submissions may delay the processing of your application.
- Certification Lapse: The inability to renew can lead to a lapse in certification.
- Name Change Issues: Submitting incorrect names can complicate the review process.
How do I know when to use this form?
- 1. Certification Renewal: This form is primarily used for renewing existing nursing assistant certifications.
- 2. Legal Name Changes: Use this form to update your records with a new legal name.
- 3. Update Employment Information: This form can help update the employer information if necessary.
Frequently Asked Questions
How do I edit my PDF?
You can easily edit the PDF by uploading it to PrintFriendly and using the editing tools available.
Can I save my edited PDF?
You can download your edited PDF after making changes.
What types of payments are accepted?
Payments can be made via certified check or money order.
Where do I submit the renewal form?
Mail the completed form to Prometric at the designated address.
Can I fill out the form online?
Currently, the form must be printed and submitted physically.
Is there a fee for submitting the renewal form?
Yes, there is a nonrefundable processing fee of $40.
What happens if I miss the deadline?
Late submissions may lead to delays or denial of your renewal.
Do I need to provide my Social Security Number?
Yes, the Social Security Number is a required field on the form.
Why are photocopies not accepted?
Photocopies may impact the ability to process the application effectively.
Who can I contact for additional help?
Visit our FAQ section or contact the registry office for help.
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