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1248
![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.
![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 8493 "Notification Regarding a Death in Home and Community-Based Services (Hcs), Texas Home Living (Txhml) and Deaf Blind With Multiple Disabilities (Dbmd) Programs" - Texas](https://data.templateroller.com/pdf_docs_html/2071/20712/2071272/form-8493-notification-regarding-a-death-in-home-and-community-based-services-hcs-texas-home-living-txhml-and-deaf-blind-with-multiple-disabilities-dbmd-programs-texas.png "Form 8493 "Notification Regarding a Death in Home and Community-Based Services (Hcs), Texas Home Living (Txhml) and Deaf Blind With Multiple Disabilities (Dbmd) Programs" - Texas")
![Form 8494 "Notification Regarding an Investigation of Abuse, Neglect or Exploitation" - Texas](https://data.templateroller.com/pdf_docs_html/2071/20712/2071271/form-8494-notification-regarding-an-investigation-of-abuse-neglect-or-exploitation-texas.png "Form 8494 "Notification Regarding an Investigation of Abuse, Neglect or Exploitation" - Texas")
![Form 2071 "Home-Delivered Meals Report of Older Americans Act (Oaa) Nutrition Services Incentive Program (Nsip) Eligible Meals" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20705/2070596/form-2071-home-delivered-meals-report-of-older-americans-act-oaa-nutrition-services-incentive-program-nsip-eligible-meals-texas.png "Form 2071 "Home-Delivered Meals Report of Older Americans Act (Oaa) Nutrition Services Incentive Program (Nsip) Eligible Meals" - Texas")
![Form H1276 "Burial Fund Designation Worksheet" - Texas](https://data.templateroller.com/pdf_docs_html/2071/20715/2071596/form-h1276-burial-fund-designation-worksheet-texas.png "Form H1276 "Burial Fund Designation Worksheet" - Texas")
![Form 3221 "Health Care Facility Certification Under Executive Order Ga-15" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20709/2070919/form-3221-health-care-facility-certification-under-executive-order-ga-15-texas.png "Form 3221 "Health Care Facility Certification Under Executive Order Ga-15" - Texas")
![Form 2802 "Youth Empowerment Services (Yes) Notice of Participant Rights and Responsibilities" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20707/2070705/form-2802-youth-empowerment-services-yes-notice-of-participant-rights-and-responsibilities-texas.png "Form 2802 "Youth Empowerment Services (Yes) Notice of Participant Rights and Responsibilities" - Texas")
![Form 7264 "Attestation of Child Day Care for Protective Day Care - Child Care Regulation" - Texas](https://data.templateroller.com/pdf_docs_html/2071/20712/2071252/form-7264-attestation-of-child-day-care-for-protective-day-care-child-care-regulation-texas.png "Form 7264 "Attestation of Child Day Care for Protective Day Care - Child Care Regulation" - Texas")
![Form 7265 "Attestation of Child Day Care for Essential Workers - Child Care Regulation" - Texas](https://data.templateroller.com/pdf_docs_html/2071/20712/2071253/form-7265-attestation-of-child-day-care-for-essential-workers-child-care-regulation-texas.png "Form 7265 "Attestation of Child Day Care for Essential Workers - Child Care Regulation" - Texas")
![Form 1354 "Pcsk9 Inhibitors Authorization Request (Medicaid Fee-For-Service)" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20704/2070450/form-1354-pcsk9-inhibitors-authorization-request-medicaid-fee-for-service-texas.png "Form 1354 "Pcsk9 Inhibitors Authorization Request (Medicaid Fee-For-Service)" - Texas")
![Form 2840 "Temporary Emergency Child Care Operation Application" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20707/2070733/form-2840-temporary-emergency-child-care-operation-application-texas.png "Form 2840 "Temporary Emergency Child Care Operation Application" - Texas")
![Form 1355 "Pcsk9 Inhibitors Standard Pa Addendum (Medicaid Fee-For-Service)" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20704/2070452/form-1355-pcsk9-inhibitors-standard-pa-addendum-medicaid-fee-for-service-texas.png "Form 1355 "Pcsk9 Inhibitors Standard Pa Addendum (Medicaid Fee-For-Service)" - Texas")
![Form 1341 "Pharmacy Enrollment Agreement" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20704/2070437/form-1341-pharmacy-enrollment-agreement-texas.png "Form 1341 "Pharmacy Enrollment Agreement" - Texas")
![Form 2820 "Educational Facility Request for Exemption From Child Care Regulation" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20707/2070728/form-2820-educational-facility-request-for-exemption-from-child-care-regulation-texas.png "Form 2820 "Educational Facility Request for Exemption From Child Care Regulation" - Texas")
![Form 2040 "Consumer Managed Personal Attendant Services (Cmpas) Co-pay Worksheet" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20705/2070579/form-2040-consumer-managed-personal-attendant-services-cmpas-co-pay-worksheet-texas.png "Form 2040 "Consumer Managed Personal Attendant Services (Cmpas) Co-pay Worksheet" - Texas")
![Form 3057 "Kidney Health Care Program Physician Assessment" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20708/2070844/form-3057-kidney-health-care-program-physician-assessment-texas.png "Form 3057 "Kidney Health Care Program Physician Assessment" - Texas")
![Form 2358 "Habilitation Coordination Authorization Request" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20706/2070641/form-2358-habilitation-coordination-authorization-request-texas.png "Form 2358 "Habilitation Coordination Authorization Request" - Texas")
![Form 5916 "Applicant/Contractor Screening Criteria" - Texas](https://data.templateroller.com/pdf_docs_html/2071/20711/2071197/form-5916-applicant-contractor-screening-criteria-texas.png "Form 5916 "Applicant/Contractor Screening Criteria" - Texas")
![Form 2842 "Temporary Emergency Child Care Operation - Plan of Operation" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20707/2070734/form-2842-temporary-emergency-child-care-operation-plan-of-operation-texas.png "Form 2842 "Temporary Emergency Child Care Operation - Plan of Operation" - Texas")
![Form 3220 "Covid-19 Response off-Site Facility Application" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20709/2070918/form-3220-covid-19-response-off-site-facility-application-texas.png "Form 3220 "Covid-19 Response off-Site Facility Application" - Texas")
![Form 3219 "Multiple Location Psychiatric Hospital License Renewal Application" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20709/2070917/form-3219-multiple-location-psychiatric-hospital-license-renewal-application-texas.png "Form 3219 "Multiple Location Psychiatric Hospital License Renewal Application" - Texas")
![Form 2032 "Escheatment of Consumer Funds" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20705/2070572/form-2032-escheatment-of-consumer-funds-texas.png "Form 2032 "Escheatment of Consumer Funds" - Texas")
![Form 3210 "Ambulatory Surgical Center License Application" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20709/2070912/form-3210-ambulatory-surgical-center-license-application-texas.png "Form 3210 "Ambulatory Surgical Center License Application" - Texas")
![Form 2833 "Single Skills Program During Summer Request for Exemption From Child Care Regulation" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20707/2070731/form-2833-single-skills-program-during-summer-request-for-exemption-from-child-care-regulation-texas.png "Form 2833 "Single Skills Program During Summer Request for Exemption From Child Care Regulation" - Texas")
![Form 1344 "Managed Care Resources Update Request" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20704/2070438/form-1344-managed-care-resources-update-request-texas.png "Form 1344 "Managed Care Resources Update Request" - Texas")
![Form 3834 "Written Acknowledgement of Completion of Cybersecurity Training Program" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20703/2070324/form-3834-written-acknowledgement-of-completion-of-cybersecurity-training-program-texas.png "Form 3834 "Written Acknowledgement of Completion of Cybersecurity Training Program" - Texas")
![Form 2031 "Designation of Authorized Individual(S) - Business Entity" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20705/2070568/form-2031-designation-of-authorized-individual-s-business-entity-texas.png "Form 2031 "Designation of Authorized Individual(S) - Business Entity" - Texas")
![Form 2601 "Physician Certification" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20706/2070676/form-2601-physician-certification-texas.png "Form 2601 "Physician Certification" - Texas")
![Form 6102 "Community Mental Health Center Facility Incident Report" - Texas](https://data.templateroller.com/pdf_docs_html/2071/20712/2071207/form-6102-community-mental-health-center-facility-incident-report-texas.png "Form 6102 "Community Mental Health Center Facility Incident Report" - Texas")
![Form 3251 "Daily Census Record" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20709/2070920/form-3251-daily-census-record-texas.png "Form 3251 "Daily Census Record" - Texas")
![Form 3218 "Multiple Location Psychiatric Hospital License Application" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20709/2070921/form-3218-multiple-location-psychiatric-hospital-license-application-texas.png "Form 3218 "Multiple Location Psychiatric Hospital License Application" - Texas")
![Form 2809 "Youth Empowerment Services Waiver - Verification of Freedom of Choice" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20707/2070715/form-2809-youth-empowerment-services-waiver-verification-of-freedom-of-choice-texas.png "Form 2809 "Youth Empowerment Services Waiver - Verification of Freedom of Choice" - Texas")
![Form 6110 "Ambulatory Surgical Center Facility Incident Report" - Texas](https://data.templateroller.com/pdf_docs_html/2071/20712/2071218/form-6110-ambulatory-surgical-center-facility-incident-report-texas.png "Form 6110 "Ambulatory Surgical Center Facility Incident Report" - Texas")
![Form 3089 "Home and Community Based Services Adult Mental Health (Hcbs-Amh) Complaint" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20708/2070880/form-3089-home-and-community-based-services-adult-mental-health-hcbs-amh-complaint-texas.png "Form 3089 "Home and Community Based Services Adult Mental Health (Hcbs-Amh) Complaint" - Texas")
![Form 3216 "Psychiatric Hospital License Application" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20709/2070916/form-3216-psychiatric-hospital-license-application-texas.png "Form 3216 "Psychiatric Hospital License Application" - Texas")
![Form 3217 "Psychiatric Hospital License Renewal Application" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20709/2070914/form-3217-psychiatric-hospital-license-renewal-application-texas.png "Form 3217 "Psychiatric Hospital License Renewal Application" - Texas")
![Form 6105 "Hospital Facility Incident Report" - Texas](https://data.templateroller.com/pdf_docs_html/2071/20712/2071212/form-6105-hospital-facility-incident-report-texas.png "Form 6105 "Hospital Facility Incident Report" - Texas")
![Form 6103 "End Stage Renal Disease Facility Incident Report" - Texas](https://data.templateroller.com/pdf_docs_html/2071/20712/2071211/form-6103-end-stage-renal-disease-facility-incident-report-texas.png "Form 6103 "End Stage Renal Disease Facility Incident Report" - Texas")
![Form 2971 "Child Care Licensing Request for Background Check" - Texas](https://data.templateroller.com/pdf_docs_html/2070/20707/2070770/form-2971-child-care-licensing-request-for-background-check-texas.png "Form 2971 "Child Care Licensing Request for Background Check" - Texas")
