Sc nurse aide registry renewal form 2026

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Click ‘Get Form’ to open the SC Nurse Aide Registry Renewal Form in our editor.
In Section I, enter your Social Security Number, full name (last, first, middle initial), current mailing address, and telephone numbers. Ensure accuracy as this information is crucial for your eligibility.
For Section II, if there are any changes to your personal information, provide a new Social Security number or updated name along with legal documentation as proof.
In Section III, your current or most recent employer must complete this section. They will need to provide the facility's name, date of hire, and confirm your work history.
Finally, in Section IV, ensure that the renewal fee of $28 is addressed correctly. If employed by a Medicaid-certified facility, they will cover this fee; otherwise, you must submit a money order.

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