Form 5506-NAR Texas Nurse Aide Registry Employment Verification - Texas

Form 5506-NAR Instructions

The instructions for filling in Form 5506-NAR are the following:

1. This form can be completed in blue ink only.
2. Section 1 should be filled in by a nurse aide. Before completing the form, a nurse aid has to verify their information in the Credential Manager system. After registration, their identification number should be entered in the form.
3. The applicant should outline their personal information in the table, including their name, address, Social Security number, and Certified Nurse Aide (CNA) number.
4. The applicant should answer the questions below the table to verify the requirements for Nurse Aide Recertification.
5. Signature of the applicant and the date should be provided.
6. A photocopy of picture identification must be attached to the form.
7. Section 2 should be filled in by the employer of the nurse aide.
8. The employer has to provide information about their company and the working period of the nurse aide in this organization.
9. The employer can add comments concerning nursing services performed by the indicated nurse aide or other important information on the space provided.
10. The signature of the employer and the date should be indicated.
11. The employer's signature has to be notarized at the bottom of this section and returned to the nurse aide.