Nursing Home Administrator - Endorsement Packet THIS PACKET INCLUDES:
. Instruction Sheet
. Licensure Methods and Definitions
. Reference Sheet
. Application Checklist
. Application for Licensure and/or Examination
. CT Certification by Licensing Agency/Board
. VE Verification of Employment/Experience
. HL Certification of Health
. SD-HLT Certificate of The State Department of Health
Nursing Home Administrator Temporary Non-examination Packet THIS PACKET INCLUDES:
. Instruction Sheet
. Licensure Methods and Definitions
. Reference Sheet
. Application Checklist
. Application for Licensure and/or Examination
. ED Certification of Education
. VE Verification of Employment/Experience
. CA-NHA Certification of Acceptance
. HL Certification of Health
Restoration
Forms must be obtained from the Division of Professional Regulation by calling 217-782-0458.