Iowa direct care worker registry 2026

1. Click ‘Get Form’ to open the Iowa Direct Care Worker Registry application in our editor.
2. Begin with Section 1, where you, as the Direct Care Worker, must fill in your personal details including your Social Security Number, date of birth, and contact information. Ensure all fields are completed accurately.
3. If you are transferring from another state, indicate this in the 'State Certified (if other than IA)' field and attach a copy of your current certification card and Social Security card.
4. Complete the Employment History section by listing your last three years of employment as a CNA. Provide hire and separation dates in MM-DD-YYYY format for each position.
5. For Section 2, if applicable, have your Iowa employer complete their portion. They should provide the hire date and any separation date if relevant. Ensure they sign the form.
6. Once all sections are filled out, review for accuracy before submitting. You can easily save and share your completed form directly from our platform.

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