California cna reciprocity 2025

1. Click ‘Get Form’ to open the California CNA Reciprocity application in the editor.
2. Begin with Section I. Indicate your type of request by checking the appropriate box: enrolling in a CNA training program, HHA training program, equivalent training, or requesting reciprocity from another state.
3. Proceed to Section II. Fill in your personal details including last name, first name, middle initial, sex, mailing address, date of birth, and social security number. Ensure all fields marked with an asterisk are completed as they are mandatory.
4. In Section III, answer the questions regarding any criminal convictions and health-related licensing actions. If applicable, provide details about any convictions.
5. If you have received CNA or HHA training, complete Section IV with the name of the school or facility and relevant dates. If not applicable, skip this section.
6. Finally, sign and date Section V to certify that all information provided is true and correct before submitting your application.

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