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1484
![Form 5506-NAR "Texas Nurse Aide Registry Employment Verification" - Texas](https://data.templateroller.com/pdf_docs_html/2016/20162/2016251/form-5506-nar-texas-nurse-aide-registry-employment-verification-texas.png "Form 5506-NAR "Texas Nurse Aide Registry Employment Verification" - Texas")
Form 5506-NAR "Texas Nurse Aide Registry Employment Verification" - Texas
Size: 84 KB
2 pages
This form is used and needs to be completed by a nurse aide and their employer to verify employment. To remain on active status and to provide services in nursing facilities, nurse aides have to do such verifications at least every two years.
![Form HRG-83 "Ssn Maintenance Memorandum" - Texas](https://data.templateroller.com/pdf_docs_html/2071/20718/2071802/form-hrg-83-ssn-maintenance-memorandum-texas.png "Form HRG-83 "Ssn Maintenance Memorandum" - Texas")
![Instructions for Form 325 "Primary Health Care Annual Reporting Form" - Texas](https://data.templateroller.com/pdf_docs_html/1958/19581/1958178/instructions-for-form-325-primary-health-care-annual-reporting-form-texas.png "Instructions for Form 325 "Primary Health Care Annual Reporting Form" - Texas")
![Form 1048 "Summary Sheet for Services to Individuals With Idd in Nf" - Texas](https://data.templateroller.com/pdf_docs_html/2120/21206/2120655/form-1048-summary-sheet-for-services-to-individuals-with-idd-in-nf-texas.png "Form 1048 "Summary Sheet for Services to Individuals With Idd in Nf" - Texas")
![Form 2605 "Member Sk-Sai Mdcp Review Signature" - Texas](https://data.templateroller.com/pdf_docs_html/2120/21206/2120662/form-2605-member-sk-sai-mdcp-review-signature-texas.png "Form 2605 "Member Sk-Sai Mdcp Review Signature" - Texas")
![Form H1175 "Ebt Change Request" - Texas](https://data.templateroller.com/pdf_docs_html/2120/21206/2120678/form-h1175-ebt-change-request-texas.png "Form H1175 "Ebt Change Request" - Texas")
![Form 3209 "Chemical Dependency Treatment Facility Licensure Application Checklist for Change in Status Applicants" - Texas](https://data.templateroller.com/pdf_docs_html/2120/21206/2120667/form-3209-chemical-dependency-treatment-facility-licensure-application-checklist-for-change-in-status-applicants-texas.png "Form 3209 "Chemical Dependency Treatment Facility Licensure Application Checklist for Change in Status Applicants" - Texas")
![Form 1347 "Emflaza Authorization Request (Medicaid)" - Texas](https://data.templateroller.com/pdf_docs_html/2120/21206/2120658/form-1347-emflaza-authorization-request-medicaid-texas.png "Form 1347 "Emflaza Authorization Request (Medicaid)" - Texas")
![Form 5534 "Medication Aide General Statement Enrollment" - Texas](https://data.templateroller.com/pdf_docs_html/2120/21206/2120672/form-5534-medication-aide-general-statement-enrollment-texas.png "Form 5534 "Medication Aide General Statement Enrollment" - Texas")
![Form 5523 "Medication Aide Experience Documentation Report" - Texas](https://data.templateroller.com/pdf_docs_html/2120/21206/2120671/form-5523-medication-aide-experience-documentation-report-texas.png "Form 5523 "Medication Aide Experience Documentation Report" - Texas")
![Form 8660 "Performance Evaluation of Internship/Practicum Supervisor and Overall Experience" - Texas](https://data.templateroller.com/pdf_docs_html/2105/21051/2105168/form-8660-performance-evaluation-of-internship-practicum-supervisor-and-overall-experience-texas.png "Form 8660 "Performance Evaluation of Internship/Practicum Supervisor and Overall Experience" - Texas")
![Form 1048 "Summary Sheet for Services to Individuals With Idd in a Nursing Facility" - Texas](https://data.templateroller.com/pdf_docs_html/2100/21006/2100642/form-1048-summary-sheet-for-services-to-individuals-with-idd-in-a-nursing-facility-texas.png "Form 1048 "Summary Sheet for Services to Individuals With Idd in a Nursing Facility" - Texas")
![Form 3008 "Cost Share Collections/Refund Report" - Texas](https://data.templateroller.com/pdf_docs_html/2105/21051/2105147/form-3008-cost-share-collections-refund-report-texas.png "Form 3008 "Cost Share Collections/Refund Report" - Texas")
![Form 3015 "Application for a Child Care Administrator License or a Child-Placing Agency Administrator License" - Texas](https://data.templateroller.com/pdf_docs_html/2105/21051/2105144/form-3015-application-for-a-child-care-administrator-license-or-a-child-placing-agency-administrator-license-texas.png "Form 3015 "Application for a Child Care Administrator License or a Child-Placing Agency Administrator License" - Texas")
![Form 1319 "Pharmacy Claims Billing Request" - Texas](https://data.templateroller.com/pdf_docs_html/2105/21051/2105138/form-1319-pharmacy-claims-billing-request-texas.png "Form 1319 "Pharmacy Claims Billing Request" - Texas")
![Form 1054 "Community Living Options" - Texas](https://data.templateroller.com/pdf_docs_html/2105/21051/2105137/form-1054-community-living-options-texas.png "Form 1054 "Community Living Options" - Texas")
![Form 3955 "Application for Driver Identification Visor Card" - Texas](https://data.templateroller.com/pdf_docs_html/2105/21051/2105157/form-3955-application-for-driver-identification-visor-card-texas.png "Form 3955 "Application for Driver Identification Visor Card" - Texas")
![Form 4211 "Respite Funding Agreement" - Texas](https://data.templateroller.com/pdf_docs_html/2105/21051/2105159/form-4211-respite-funding-agreement-texas.png "Form 4211 "Respite Funding Agreement" - Texas")
![Form 3016 "Administrator Licensing - Reference for an Applicant" - Texas](https://data.templateroller.com/pdf_docs_html/2105/21051/2105143/form-3016-administrator-licensing-reference-for-an-applicant-texas.png "Form 3016 "Administrator Licensing - Reference for an Applicant" - Texas")
![Form 0011 "Consent to Transfer to a Texas State Operated Facility" - Texas](https://data.templateroller.com/pdf_docs_html/2105/21051/2105131/form-0011-consent-to-transfer-to-a-texas-state-operated-facility-texas.png "Form 0011 "Consent to Transfer to a Texas State Operated Facility" - Texas")
![Form 0012 "Request for Interstate Transfer" - Texas](https://data.templateroller.com/pdf_docs_html/2105/21051/2105133/form-0012-request-for-interstate-transfer-texas.png "Form 0012 "Request for Interstate Transfer" - Texas")
![Form 6004 "Texas Provider Marketing" - Texas](https://data.templateroller.com/pdf_docs_html/2105/21051/2105163/form-6004-texas-provider-marketing-texas.png "Form 6004 "Texas Provider Marketing" - Texas")
![Form 8636 "Volunteer/Intern Assignment Description" - Texas](https://data.templateroller.com/pdf_docs_html/2105/21051/2105167/form-8636-volunteer-intern-assignment-description-texas.png "Form 8636 "Volunteer/Intern Assignment Description" - Texas")
![Form 6517 "Individual Program Plan (Ipp) Service Review" - Texas](https://data.templateroller.com/pdf_docs_html/2105/21051/2105164/form-6517-individual-program-plan-ipp-service-review-texas.png "Form 6517 "Individual Program Plan (Ipp) Service Review" - Texas")
![Form 3091 "Comprehensive Nursing Assessment" - Texas](https://data.templateroller.com/pdf_docs_html/2105/21051/2105150/form-3091-comprehensive-nursing-assessment-texas.png "Form 3091 "Comprehensive Nursing Assessment" - Texas")
![Form 3001 "Quarterly Financial Report" - Texas](https://data.templateroller.com/pdf_docs_html/2105/21051/2105142/form-3001-quarterly-financial-report-texas.png "Form 3001 "Quarterly Financial Report" - Texas")
![Form 3092 "Medication Administration Record" - Texas](https://data.templateroller.com/pdf_docs_html/2105/21051/2105151/form-3092-medication-administration-record-texas.png "Form 3092 "Medication Administration Record" - Texas")
![Form 3907 "Application for Specialized Telecommunications Assistance Program (Stap) Speech Generating Devices" - Texas](https://data.templateroller.com/pdf_docs_html/2105/21051/2105154/form-3907-application-for-specialized-telecommunications-assistance-program-stap-speech-generating-devices-texas.png "Form 3907 "Application for Specialized Telecommunications Assistance Program (Stap) Speech Generating Devices" - Texas")
![Form 2362 "Receipt Certification by a Qualified Rehabilitation Professional" - Texas](https://data.templateroller.com/pdf_docs_html/2105/21051/2105139/form-2362-receipt-certification-by-a-qualified-rehabilitation-professional-texas.png "Form 2362 "Receipt Certification by a Qualified Rehabilitation Professional" - Texas")
![Form 1045 "Request for Extension of Enrollment Offer Due Date" - Texas](https://data.templateroller.com/pdf_docs_html/2105/21051/2105136/form-1045-request-for-extension-of-enrollment-offer-due-date-texas.png "Form 1045 "Request for Extension of Enrollment Offer Due Date" - Texas")
![Form 3926 "Change of Disability" - Texas](https://data.templateroller.com/pdf_docs_html/2105/21051/2105156/form-3926-change-of-disability-texas.png "Form 3926 "Change of Disability" - Texas")
![Form 7266 "Notification of Abuse, Neglect or Exploitation Deficiency" - Texas](https://data.templateroller.com/pdf_docs_html/2105/21051/2105165/form-7266-notification-of-abuse-neglect-or-exploitation-deficiency-texas.png "Form 7266 "Notification of Abuse, Neglect or Exploitation Deficiency" - Texas")
![Formulario 8648 "Identificacion De Preferencias" - Texas (Spanish)](https://data.templateroller.com/pdf_docs_html/2105/21051/2105169/formulario-8648-identificacion-de-preferencias-texas-spanish.png "Formulario 8648 "Identificacion De Preferencias" - Texas (Spanish)")
![Form 8648 "Identification of Preferences" - Texas](https://data.templateroller.com/pdf_docs_html/2105/21051/2105170/form-8648-identification-of-preferences-texas.png "Form 8648 "Identification of Preferences" - Texas")
![Form 3090 "Nursing Health Screening Within 72 Hours of Community Placement" - Texas](https://data.templateroller.com/pdf_docs_html/2105/21051/2105149/form-3090-nursing-health-screening-within-72-hours-of-community-placement-texas.png "Form 3090 "Nursing Health Screening Within 72 Hours of Community Placement" - Texas")
Form 3090 "Nursing Health Screening Within 72 Hours of Community Placement" - Texas
Size: 115 KB
2 pages
![Form H1239 "Request for Verification of Bank Accounts" - Texas](https://data.templateroller.com/pdf_docs_html/2092/20926/2092693/form-h1239-request-for-verification-of-bank-accounts-texas.png "Form H1239 "Request for Verification of Bank Accounts" - Texas")
![Form 2818 "Critical Incident Report" - Texas](https://data.templateroller.com/pdf_docs_html/2105/21051/2105140/form-2818-critical-incident-report-texas.png "Form 2818 "Critical Incident Report" - Texas")
![Form 1091 "First Dental Home Certification Application" - Texas](https://data.templateroller.com/pdf_docs_html/2105/21051/2105134/form-1091-first-dental-home-certification-application-texas.png "Form 1091 "First Dental Home Certification Application" - Texas")
![Form 1090 "Oral Evaluation and Fluoride Varnish Certification Application" - Texas](https://data.templateroller.com/pdf_docs_html/2105/21051/2105135/form-1090-oral-evaluation-and-fluoride-varnish-certification-application-texas.png "Form 1090 "Oral Evaluation and Fluoride Varnish Certification Application" - Texas")
![Form 2970 "Notification of Safe Sleeping Deficiency" - Texas](https://data.templateroller.com/pdf_docs_html/2105/21051/2105141/form-2970-notification-of-safe-sleeping-deficiency-texas.png "Form 2970 "Notification of Safe Sleeping Deficiency" - Texas")
