Complete the interstate application from the kansas department of health and environment form 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your personal information in the 'Candidate Information' section. Fill in your name, social security number, birth date, and contact details accurately.
  3. Indicate your highest level of education completed by selecting the appropriate checkbox. This helps streamline your application process.
  4. In the 'Certification Information' section, provide your original certificate number, date issued, and state issued by. Ensure these details are correct for verification purposes.
  5. List all states where you have worked as a nurse aide, starting with the most recent. This is crucial for your eligibility.
  6. Select your preferred test site from the provided options to facilitate scheduling.
  7. Finally, review all entered information for accuracy before signing the application. Attach a copy of your identification and payment for the application fee.

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The Kansas Nurse Aide Registry is responsible for maintaining records of all certified nursing assistants in the state. This registry ensures that CNAs are qualified and capable of providing care to patients in various healthcare settings.
Contact Kansas Department of Revenue by email KDORIncomeEServ@ks.gov or by phone at 785-368-8222 option 4.
You may request the application form from a DCF office in person, or call 1-888-369-4777 to have one mailed to you. You may also elect to apply online.
The Kansas Department of Health and Environment works to protect and improve the health and environment of all Kansans.

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