Form 5509 Nar – Fill Out and Use This PDF

Form 5509 Nar is a tax form used to request an automatic extension for filing Form 1040 for American citizens who live outside the United States and Puerto Rico.

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Form 5509 Nar PDF Details

Form 5509 NAR is a form that is used to report the nondeductible expenses of investing in a Passive Activity. This includes real estate and rental activity. The form is also used to calculate the amount of loss that can be deducted from taxable income on your tax return. There are specific instructions that must be followed in order to complete this form correctly. Make sure you consult with a tax professional if you have any questions about how to use this form.

The listing contains specifics of the form 5509 nar. There, you'll discover the details about the PDF you would like to fill out, like the likely time to complete it and also other particulars.

Question	Answer
Form Name	Form 5509 Nar
Form Length	2 pages
Fillable?	Yes
Fillable fields	1
Avg. time to fill out	42 sec
Other names	texas cna renewal form 5509, form 5509 nar employment verification, nurse aide employment verification form, form 5509 nar

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Form Preview Example

Form 5509-NAR

September 2021-E

Texas Nurse Aide Registry

Facility Nurse Aide Employment Verification

General Instructions

1.Complete facility/employer information requested at the bottom of this page. Repeat the facility/employer name and date of completion on each additional page submitted. A nurse aide may not complete this form for the facility/ employer.

2.List all nurse aides who have been employed with you since your last annual report that met the renewal requirements below. Nursing facilities (NF) and skilled nursing facilities (SNF) are required to submit a list of nurse aide employees on an annual basis, per Texas Standards for Nurse Aides, 26 TAC §556.9.

3.Do not submit Form 5509-NAR (complete list of employees) more than once in a 12-month period.

4.Dates of employment must be indicated in mm/dd/yyyy format. If an individual is still employed, do not leave end date blank. Indicate with either ‘present’ or ‘current’ in the end date box.

5.You may electronically duplicate the format of this document; however, you must include all fields/columns in the order presented on this document.

6.Email the completed form to the Texas Nurse Aide Registry at: nurseaideregistry@hhs.texas.gov.

Facility or Employer Name:

Facility or Employer's Mailing Address:

Facility Representative Name and Title:

Area Code and Phone No.:

Area Code and Fax No.:

Signature – Facility Representative

Date Form Completed

I certify that all individuals listed on this form meet/met the following recertification requirements.

•Has completed 24 hours of in-service education in the past two years.

•Has completed an HHSC course in infection control and proper use of personal protective equipment (PPE) every year.

•Is not listed as unemployable on the Employee Misconduct Registry (EMR).

•Has not been found to have a conviction of a criminal offense listed in Texas Health and Safety Code §250.006.

Signature – Facility Representative

Date Form Completed

If the facility or employer cannot verify the requirements above, then the facility or employer and the nurse aide must complete Form 5506-NAR, Employment Verification.

Facility or Employer Name:

Form 5509-NAR

Page 2 / 9-2021-E

Date Form Completed:

Last Name:	First Name:	MI:	Social Security No.:	Nurse Aide No.:	Start Date:
Address:			City, State, and ZIP Code:		End Date:
Last Name:	First Name:	MI:	Social Security No.:	Nurse Aide No.:	Start Date:
Address:			City, State, and ZIP Code:		End Date:
Last Name:	First Name:	MI:	Social Security No.:	Nurse Aide No.:	Start Date:
Address:			City, State, and ZIP Code:		End Date:
Last Name:	First Name:	MI:	Social Security No.:	Nurse Aide No.:	Start Date:
Address:			City, State, and ZIP Code:		End Date:
Last Name:	First Name:	MI:	Social Security No.:	Nurse Aide No.:	Start Date:
Address:			City, State, and ZIP Code:		End Date:
Last Name:	First Name:	MI:	Social Security No.:	Nurse Aide No.:	Start Date:
Address:			City, State, and ZIP Code:		End Date:
Last Name:	First Name:	MI:	Social Security No.:	Nurse Aide No.:	Start Date:
Address:			City, State, and ZIP Code:		End Date:
Last Name:	First Name:	MI:	Social Security No.:	Nurse Aide No.:	Start Date:
Address:			City, State, and ZIP Code:		End Date:
Last Name:	First Name:	MI:	Social Security No.:	Nurse Aide No.:	Start Date:
Address:			City, State, and ZIP Code:		End Date:
Last Name:	First Name:	MI:	Social Security No.:	Nurse Aide No.:	Start Date:
Address:			City, State, and ZIP Code:		End Date:
Last Name:	First Name:	MI:	Social Security No.:	Nurse Aide No.:	Start Date:
Address:			City, State, and ZIP Code:		End Date:

How to Edit Form 5509 Nar Online for Free

Having the purpose of allowing it to be as quick to use as it can be, we built the PDF editor. The process of filling out the 5509 nar will be quick for those who keep to the next actions.

Step 1: Hit the "Get Form Now" button to begin the process.

Step 2: You are now allowed to change 5509 nar. You have many options thanks to our multifunctional toolbar - you'll be able to add, erase, or modify the content material, highlight the selected components, and carry out other commands.

To get the document, provide the content the software will request you to for each of the following parts:

portion of fields in 5509 form

In the area Signature, Facility, Representative and Date, Form, Completed write down the information that the platform demands you to do.

Entering details in 5509 form stage 2

The application will demand for more information to be able to effortlessly fill out the box Facility, or, Employer, Name Date, Form, Completed LastName, First, Name Social, Security, No Nurse, Aide, No Start, Date Address, City, State, and, ZIP, Code EndDate, LastName, First, Name Social, Security, No Nurse, Aide, No and Start, Date

part 3 to filling out 5509 form

Identify the rights and responsibilities of the sides in the field Address, City, State, and, ZIP, Code EndDate, LastName, First, Name Social, Security, No Nurse, Aide, No Start, Date Address, City, State, and, ZIP, Code EndDate, LastName, First, Name Social, Security, No and Nurse, Aide, No

step 4 to filling out 5509 form

Check the areas Address, City, State, and, ZIP, Code EndDate, LastName, First, Name Social, Security, No Nurse, Aide, No Start, Date Address, City, State, and, ZIP, Code and EndDate and thereafter fill them in.

Finishing 5509 form step 5

Step 3: Click the "Done" button. You can now transfer your PDF form to your device. As well as that, you may forward it by means of electronic mail.

Step 4: In order to avoid any sort of troubles as time goes on, you should make at the very least a couple of copies of your document.

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