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Cna registry form 5507-2026

The document is a form (5507-NAR) from the Texas Department of Aging and Disability Services for individuals requesting a waiver to be placed on the Texas Nurse Aide Registry. It outlines the application process, required documentation, eligibility criteria, and instructions for completing the form. Key requirements include submitting criminal history results, proof of training, and employment verification. The document emphasizes the importance of providing accurate information and warns against tampering with government records.

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Click ‘Get Form’ to open the cna registry form 5507 in the editor.
In Section 1, provide your personal information including your name, date of birth, and social security number. Ensure all details are accurate and complete.
Attach required documents such as your criminal history results from the Department of Public Safety and a photocopy of your picture ID that verifies your birth date and name.
Complete Form 5506-NAR for Employment Verification, confirming you have provided nursing-related services for compensation at least every two years since July 1, 1989.
If applicable, ensure that Section 2 is filled out by the training program director or official records keeper, including notarization of their signature.
Review all sections for completeness before submitting. Remember to mail all required documents to the Texas Nurse Aide Registry.

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