Form 5528-nar-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name in the designated fields (Last, First, Middle). Ensure accuracy as this will be used for identification.
3. Provide your email address and complete mailing address. This information is crucial for communication regarding your application.
4. Fill in your Social Security Number or Certified Nurse Aide (CNA) Number, or both if applicable. Double-check these numbers for correctness.
5. Sign and date the form in the appropriate sections. Your signature confirms that all provided information is accurate.
6. Attach a legible photocopy of your government-issued ID and ensure you have included your criminal history check from the Texas Department of Public Safety.
7. Review all entries for completeness and accuracy before submitting. Once satisfied, email the completed form along with required documents to nurseaideregistry@hhs.texas.gov.

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