A photocopy of picture identification must be attached to the form.Signature of the applicant and the date should be provided.The applicant should answer the questions below the table to verify the requirements for Nurse Aide Recertification.The applicant should outline their personal information in the table, including their name, address, Social Security number, and Certified Nurse Aide (CNA) number.After registration, their identification number should be entered in the form. Before completing the form, a nurse aid has to verify their information in the Credential Manager system.
Section 1 should be filled in by a nurse aide.This form can be completed in blue ink only.The instructions for filling in Form 5506-NAR are the following:
