Texas Nurse Aide Registry Form 5505-NAR is a document for nurse aides seeking entry into the Texas Nurse Aide Registry through reciprocity. This form allows those certified in other states to become certified in Texas without additional testing.
The form requires applicants to provide personal information, certification details from their current state, and verification that they meet Texas’s eligibility requirements. It includes sections for the applicant’s details and verification by the current state’s registry. This form streamlines recognizing out-of-state qualifications while ensuring the applicant meets Texas standards. It ultimately facilitates the legal employment of nurse aides moving to Texas from other states.
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Make sure you obtain the latest version of the NAR 5505 application form. We suggest you use our newest software tools and developments to edit the necessary form template. You can also fill out the form online.
Before submitting your personal data, make sure you have registered in the Nurse Aide Testing Credential Management System. After completing all registration procedures, enter your identification number at the top of the document (as shown in the picture).
Underneath the ID number line, you will see a set of instructions leading you through the form completion. Please make sure to read them carefully. Hereunder, we have outlined the most important ones for your convenience:
Begin completing Section 1 by submitting your full name (last name, first name, and middle initial). Provide your maiden name as well, if applicable. Insert your Social Security Number (SSN) and indicate your sex, date of birth, and contact email address.
The next set of boxes implies that you enter your residential address, including city, state, zip code, and area code. Additionally, you need to provide your contact daytime telephone and cell number.
Indicate the state that has issued your Nurse Aide Certificate. Then, enter the document’s number and the issue date in the corresponding boxes. Once you complete the required certificate information, check the submitted data, sign the form, and put the current calendar date.
As we have already mentioned, the state authorities are responsible for filling out Section 2 of the Nurse Aide Registry 5505-NAR Form. However, you have to make sure that all indicated data is true to the facts and accurate.
You will see your registry date, certificate number, expiration date, and the applied registration method at the top of the Section. Part two of the application form will state whether you have been involved in any kind of abuse, neglect, or personal property misappropriation. Make sure to remember the expiration date and reconfirm your registry every now and then.
The responsible NAR representative will have to fill out their legal name, title, agency, state, date, and sign the paper. An official signature or the state seal must be affixed on the right-hand side (as shown below).
One should know that providing misleading information and falsifying the NA Certificate will lead to legal prosecution (up to 10 years of imprisonment and a 10,000-dollar fine).
