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Outline

When seeking to obtain a Certified Nursing Assistant (CNA) license in Florida, applicants must navigate a detailed and structured process encapsulated in the CNA License To Florida form. This form serves as a vital tool for ensuring that all necessary information is collected and verified, which is crucial for the approval of your application. First and foremost, it is essential to complete the application in its entirety, including providing a signature, as any omissions may lead to delays in processing. Each applicant must also provide proof of active certification from another state, ensuring that their credentials are in good standing. Furthermore, the form requires the submission of electronically recorded fingerprints through a Livescan provider, a necessary step for background checks mandated by the Florida Department of Law Enforcement. It is important to remember that any changes to your personal information, such as a name or address change, must be communicated to the Board of Nursing in writing to avoid complications. Additionally, applicants with a criminal history or prior disciplinary actions must disclose this information, as failure to do so can result in application denial. The form also includes sections for personal information, background checks, and even optional email notifications for application status updates. By following the checklist and ensuring all documents are submitted correctly, applicants can facilitate a smoother licensure process, ultimately paving the way for a rewarding career in healthcare.

Sample - Cna License To Florida Form

Application Checklist
Please use the following checklist to help ensure your application is complete.
Completed Application with Signature
An incomplete application will delay final approval of that application. All documents become
a permanent part of your file and cannot be returned. Applications are reviewed in date order
received.
Every question on the application must be answered. Be sure to answer all questions
honestly. The Board of Nursing may deny your application if you provide false information on
your application.
Proof of Active Certification
Your out-of-state certificate must be Clear/Active and in good standing.
Completed Confidential and Exempt from Public Records Disclosure Form
Form enclosed
Livescan
All applications received must include electronically submitted fingerprints through a Livescan
provider. The Department of Health accepts electronic fingerprinting offered by Livescan
providers that are approved by the Florida Department of Law Enforcement.
For a list of approved Livescan vendors BOE'SFRVFOUMZ"TLFE2VFTUJPOTBCPVU-JWFsDBOplease visit our website at:
http://www.flhealthsource.gov/background-screening/
Our current ORI number is EDOH4400Z.
IUUQGMPSJEBTOVSTJOHHPWGPSNTFMFDUSPOJDGJOHFSQSJOUJOHGPSNDOBCZFYBNQEG
Applications and other additional documents must be mailed to:
Department of Health
Certified Nursing Assistant Registry
4052 Bald Cypress Way Bin# C-02
Tallahassee, FL 32399-3252
DH-MQA 5022 06/18, Rule 64B9-15.0035, FAC
Important Information
Application Updates
The Board office must be notified in writing of anything which changes or affects a response given in
your application. Failure to do so could result in the delay of application processing or denial of your
application. Examples: change of name, address, telephone number, arrests or convictions, licensure
status or disciplinary action in another state, or an incorrect answer to a question.
Withdrawal of Application
If you decide to withdraw your application, you must make the request in writing. The request must be
received prior to the Board
considering
licensure.
Criminal History
Any applicant who has ever been found guilty of, or pled guilty or no contest to/nolo contendere, any
charge other than a minor traffic offense must list each offense on the application. Failure to disclose
criminal history may result in denial of your application. Each application is reviewed on its own merits.
Staff cannot make predeterminations in advance as laws and rules do change over time.
Violent crimes and repeat offenders are required to be presented to the Board of Nursing for review.
Applicants with criminal convictions may be required to submit the following documents:
Final Dispositions/Sanctions –Final disposition records for offenses can be obtained at the
clerk of the court in the arresting jurisdiction. If the records are not available, you must have a letter on
court letterhead sent from the Clerk of the Court attesting to their unavailability.
Completion of Probation/Parole
–Probation records for offenses can be obtained at the clerk of the
court in the arresting jurisdiction. If the records are not available, you must have a letter on court
letterhead sent from the Clerk of the Court attesting to their unavailability.
Self-Explanation
–Applicants who have listed offenses on the application must submit a letter in your
own words describing the circumstances of the offense.
Letters of Recommendation
–Applicants who have listed offenses on the application must submit
3-5
letters of recommendation from people you have worked for or with.
Disciplinary History
Any applicant who has ever been denied, had disciplinary action, or surrendered a license to practice
in any healthcare profession, in any state, jurisdiction, or country must provide a self-explanation of all
occurrences of denial, disciplinary action or surrendering of a license. The State Board(s) of Nursing
involved must also submit copies of the
administrative complaint
and
final order
directly to the
Florida Board. Applicants are responsible to ensure that the proper documentation is sent to the
Florida Board. Any action taken against your license by a state licensing board must be reported on
this application.
Healthcare Fraud
IMPORTANT NOTICE
:
Applicants for licensure, certification or registration and
candidates for
examination may be excluded from licensure; certification or registration if their felony conviction
falls
into certain timeframes as established in Section 456.0635(2),
Florida Statutes. For more information,
L
please visit our website at:
http://floridasnursing.gov/licensing/certified-nursing-assistant-endorse
ment/.
DH-MQA 5022 06/18, Rule 64B9-15.0035, FAC
Male
Female
RACE:
Page 1
1.
EQUAL OPPORTUNITY DATA:
We are required to ask that you furnish the following information as part of your voluntary compliance with Section 2, Uniform Guidelines
on Employee Selection Procedure (1978) 43
C
FR
38295 and
38296 (August 25, 1978). This information is gathered for statistical and
reporting purposes only and does not in any way affect your candidacy for licensure.
SEX:
PERSONAL INFORMATION
Name:
Last/Surname
First
Middle
Date of Birth:
MM/DD/YYYY
Mailing Address: (Give the address where mail and your license should be sent)
Street/P.O. Box
Apt. No.
City
State
Zip
Country
Home/Cell Telephone
(Input with dashes)
Physical Location: (Required if mailing address is a P.O. Box- This address will be posted on the Department of Health's website.)
Street
Apt./Suite No.
City
State
Zip
Country
Work/Cell Telephone
(Input with dashes)
Certified Nursing
Assistant Licensure by
Endorsement Application
Website:
www.floridasnursing.gov
Email: [email protected]
Please complete this application in its
entirety prior to printing.
Florida Board of Nursing
PO Box 6330
Tallahassee, FL 32314
Phone: (850) 245-4125
Fax: (850) 617-6460
White
Black or African American
Hispanic
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
Two or More Races
DH-MQA
5022
06/18, Rule 64B9-15.003
5
, FAC
Page 2
NAME
2.
APPLICANT BACKGROUND
Attach additional sheets, if necessary
A. List any other name(s) by which you have been known in the past.
B. What name(s) did you use when you received your education?
C. What name did you use when you were first licensed?
D.
Date
Have you ever applied for licensure by examination in Florida, as a CNA?
E.
Date
Have you ever applied for licensure by endorsement in Florida, as a CNA?
Email Notification:
If you want to be notified of the status of your application by email please check the "Yes" box and
write your email address on the line provided below. If you choose this form of notification you will receive information
regarding your application file through email. You will be responsible for checking your email regularly and updating
your email address with the Board office at:
mqa.cna@flhealth.gov
I want to be notified by email
Yes
No
Email Address:
Under Florida law, email addresses are public records. If you do not want your e-mail address released in
response to a public records request, do not provide an email address or send electronic mail to our office.
Instead contact the office by phone or in writing.
G.
*
Have you ever been denied or is there now any proceeding to deny your application for any
health care license to practice in Florida or any other state, jurisdiction or country?
Yes
No
*If you answer “Yes” to question G in this section, you must submit a self explanation as to why you
are answering “Yes” to this question.
F.
Have you ever been licensed in Florida as a CNA?
Date
Yes
No
Yes
No
Yes
No
DH-MQA , FAC
5022
06/18, Rule 64B9-15.003
5
Page 3
NAME
CRIMINAL HISTORY
Answers to commonly asked questions can be found on our website at:
http://www.floridasnursing.gov/help-center/#faqs
3.
A.
Have you
EVER
been convicted of, or entered a plea of guilty, nolo contendere, or no
contest to, a crime in any jurisdiction other than a minor traffic offense? You must
include all misdemeanors and felonies,
even if adjudication was withheld
.
Reckless driving, driving while license suspended or revoked (DWLSR), driving
under the influence (DUI) or driving while impaired (DWI) are not minor traffic offenses
for purposes of this question.
Yes
No
Self Explanation
describing in detail the circumstances surrounding each offense; including dates
,
city and state, charges and final results.
Final Dispositions and Arrest Records
for all offenses. The Clerk of the Court in the arresting
jurisdiction
will
provide you with these documents. Unavailability of these documents must come in the form of a letter
from the Clerk of the Court.
Completion of Sentence Documents
. You may obtain documents from the Department
of Corrections. The report must include the start date, end date, and state that the conditions have been met.
Three (3) current (written within the last year)
Letters of Recommendation
.
H.
. List all CNA licenses (
active, inactive or lapsed
)
State/Country
License No.
License Type
Date of Licensure
Status of License and Expiry Date
The Florida Board of Nursing requires verification of licensure from from
a state where you have a current active
license.
Failure to disclose information in this section may result in a denial of your application.
If you answered “Yes”
to any of the questions above
you are required to send the following items:
Yes
No
Have you EVER had any records sealed pursuant to section 943.059, F.S., or other states
applicable statute?
B.
C
Yes
.
No
Have you
EVER
been adjudicated delinquent?
DH-MQA
, FAC
50
22
06/18, Rule 64B9-15.003
5
I have been provided and read the statement from the Florida Department of Law Enforcement regarding
the sharing, retention, privacy and right to challenge incorrect criminal history records and the “Privacy
Statement” document from the Federal Bureau of Investigation. (Found in the forms following this
application). The Board will not receive your Livescan results if you do not affirm the above statement by
checking this box.
LIVESCAN PRIVACY STATEMENT
NAME
4.
Electronic Fingerprinting
:
(Required for ALL applicants)
All applicants, including out-of-state and out-of-country applicants, are required to submit their fingerprints electronically.
The Department of Health accepts electronic fingerprinting offered by Livescan device providers that are approved by
the Florida Department of Law Enforcement. For a list of approved Livescan vendors, please visit our website at :
http://www.flhealthsource.gov/background-screening/
Typically background results submitted by Livescan are received by the Board within 24-72 hours of being
processed. The Board of Nursing's ORI number is:
ED0380Z
.
The Board cannot accept hard fingerprint cards or
results
. All results must be submitted electronically by the Livescan service provider.
Livescan screenings done by a Florida Police or Sheriff's Department require that you login to the FDLE Civil Applicant
Payment System (CAPS) at
https://caps.fdle.state.fl.us
and pay a fee before results will be released to our office.
Applicants who reside in an area where no Livescan service providers are available or because of state laws prohibiting
transmission of fingerprints electronically across state lines should contact a Florida Livescan service provider who has the
capability to convert a traditional card (hard card) into an electronic fingerprint card.
Because the Florida Department of Health retains fingerprints on any applicant who is required to undergo a criminal history
screening as of January 1, 2013, those prints are retained in the Care Provider Clearinghouse. This Clearinghouse allows
for the sharing of criminal history information among specified agencies.
One of the requirements for your Livescan to be retained in the Clearinghouse is a photograph taken by the
Livescan service provider at time of fingerprinting. If your Livescan is completed without a photograph, you may
have to undergo additional fingerprinting in the future.
Applicants needing hard fingerprint cards can request them via email at:
Mqa
.
BackgroundScreen@flhealth.gov
Please include your current mailing address in your request for fingerprint cards.
The Board cannot accept hard fingerprint cards or results.
For Frequently Asked Questions about Livescan
and for a list of providers who offer hard card conversion
see our
website at:
http://www.flhealthsource.gov/background-screening/
Page
4
DH-MQA
, FAC
50
22
06/18, Rule 64B9-15.003
5
NAME
6.
CRIMINAL AND MEDICAID/MEDICARE FRAUD QUESTIONS
IMPORTANT NOTICE:
Applicants for licensure, certification or registration and candidates for examination may
be excluded from licensure, certification or registration if their felony conviction falls into certain timeframes as
established in Section 456.0635(2), Florida Statutes. If you answer “Yes” to any of the following questions,
please provide a written explanation for each question including the county and state of each termination or
conviction, date of each termination or conviction, and copies of supporting documentation to the address below.
Supporting documentation includes court dispositions or agency orders where applicable.
B.
Have you ever surrendered a license to practice any health care related profession in
Florida or in any other state, jurisdiction or country while any such disciplinary charges
were pending against you?
C.
Do you have disciplinary action pending against any license?
No
No
5
DISCIPLINARY HISTORY
.
A.
Yes
No
Have you ever had disciplinary action taken against your license to practice any
health care related profession by the licensing authority in Florida or in any other state,
jurisdiction or country?
Yes
Yes
If you answered “Yes” to any of the questions in this section, you are required to send the following items:
Self Explanation,
describing in detail the circumstances surrounding the disciplinary action.
A copy of the
Administrative Complaint and Final Order.
Three (3) current (written within the last year) Letters of Recommendation.
Failure to disclose information in this section may result in a denial of your application.
1.
Have you been convicted of, or entered a plea of guilty or nolo contendere,
regardless of adjudication, to a felony under Chapter 409, F.S. (relating to social and
economic assistance), Chapter 817, F.S. (relating to fraudulent practices), Chapter 893,
F.S. (relating to drug abuse prevention and control) or a similar felony offense(s) in
another state or jurisdiction?
b
.
c
.
Yes
Yes
Yes
No
No
No
If you responded “No”to the question above, skip to question 2.
.
a
.
Yes
No
If “Yes” to 1, were you arrested or charged for the felony or felonies after July 1, 2009?
If “Yes” to 1, for the felonies of the first or second degree, has it been more than 15
years from the date of the plea, sentence and completion of any subsequent probation?
If “Yes” to 1, for the felonies of the third degree, has it been more than 10 years from
the date of the plea, sentence and completion of any subsequent probation? (This
question does not apply to felonies of the third degree under Section 893.13(6)(a),
Florida Statutes).
Page
5
DH-MQA , FAC
5022
06/18, Rule 64B9-15.003
5
Page
6
NAME
______________________________________________
4.
Have you ever been terminated for cause, pursuant to the appeals procedures
established by the state, from any other state Medicaid program?
a
.
Have you been in good standing with a state Medicaid program for the most recent
five years?
b
.
Did the termination occur at least 20 years before to the date of this application?
5
.
Are you currently listed on the United States Department of Health and Human
Services' Office of Inspector General's List of Excluded Individuals and Entities?
Yes
Yes
Yes
Yes
No
No
No
No
2.
Have you been convicted of, or entered a plea of guilty or nolo contendere to,
regardless of adjudication, to a felony under 21 U.S.C. ss. 801-970 (relating to
controlled substances) or 42 U.S.C. ss. 1395-1396 (relating to public health, welfare,
Medicare and Medicaid issues)?
If you responded “No” to the question above, skip to question 3.
b
.
If “Yes” to 2, has it been more than 15 years before the date of application since
the sentence and any subsequent period of probation for such conviction or plea
ended?
3
.
Have you ever been terminated for cause from the Florida Medicaid Program
pursuant to Section 409.913, Florida Statutes?
If you have been terminated but reinstated, have you been in good standing with the
Florida Medicaid Program for the most recent five years?
Yes
Yes
Yes
Yes
No
No
No
No
If “Yes” to 1, for the felonies of the third degree under Section 893.13(6)(a), Florida
Statutes, has it been more than 5 years from the date of the plea, sentence and
completion of any subsequent probation?
If “Yes” to 1, have you successfully completed a drug court program that resulted in
the plea for the felony offense being withdrawn or the charges dismissed? (If “Yes”,
please provide supporting documentation).
d.
Yes
No
e.
Yes
No
If you responded “No” to the question above, skip to question 4.
If you responded “No” to the question above, skip to question 5.
DH-MQA
, FAC
50
22
06/18, Rule 64B9-15.003
5
If “Yes” to 2, were you arrested or charged for the felony or felonies after July 1, 2009?
a
.
Yes
No
3
pursuant to Section 409.913, Florida Statutes?
Confidential and Exempt from Public Records Disclosure
Pursuant to Sec. 466
[42 U.S.C. 666](a), the
department is required and authorized to collect Social
Security Numbers relating to applications for professional licensure.
Additionally, section 456.013(1)(a),
Florida Statutes, authorizes
the collection of Social Security Numbers
as part of the general licensing
provisions.
This information is exempt from public records disclosure.
Board of Nursing
Last Name:
First Name:
Middle Name:
Social Security Number:
Social Security Information - * Under the Federal Privacy Act, disclosure of Social Security numbers is voluntary unless
specifically required by federal statute. In this instance, Social Security numbers are mandatory pursuant to Title 42 United
States Code, Sections 653 and 654; and Section 456.013(1), 409.2577 and 409.2598, Florida Statutes. Social Security
numbers are used to allow efficient screening of applicants and licensees by a Title IV-D child support agency to ensure
compliance with child support obligations. Social Security numbers must also be recorded on all professional and
occupational license applications and will be used for license identification pursuant to the Personal Responsibility and
Work Opportunity Reconciliation Act of 1996 (Welfare Reform Act. 104 Pub.L. Section 317) Clarification of the SSA process
may be reviewed at www.ssa.gov or by calling 1-800-772-1213.
4052 Bald Cypress Way, Bin # C02
Tallahassee, Florida 32399-3252
Phone: (850) 245-4125 Fax: (850) 617-6460
Website: www.floridasnursing.gov
Page
7
(Input with dashes)
7.
DH-MQA
, FAC
50
22
06/18, Rule 64B9-15.003
5
NAME
HEALTH HISTORY
(Supporting documentation should be sent directly to the board office.)
8.
A.
B.
.
Do you have any condition that currently impairs your ability to practice your profession
with reasonable skill and safety?
Are you using medications, other drugs, narcotics, or intoxicating chemicals that impair
your ability to practice your profession with reasonable skill and safety?
Yes
Yes
No
No
If you answered “Yes” to any of the questions in this section
, you are required to send the following items:
Self Explanation, explaining the medical condition(s) or occurrence(s) and current status.
Page
8
DH-MQA , FAC
5022
06/18, Rule 64B9-15.003
5
Please provide a letter from a licensed health practitioner, who is qualified by skill and training to address your
condition, which explains the impact your condition may have on your ability to practice your profession with
reasonable skill and safety, and stating either that you are safe to practice your profession without restriction
or indicating what restrictions are necessary. If necessary, you may
attach additional sheets.
Documentation must be current within the last year.
If you fail to disclose the information requested in this section, your application may be denied.
Click for PDF

Form Information

Fact Name Details
Application Completeness All applications must be complete and signed. Incomplete applications will delay processing.
Proof of Certification Applicants must provide proof of active certification that is clear and in good standing.
Fingerprint Requirement All applications require electronically submitted fingerprints through an approved Livescan provider.
Notification of Changes Applicants must notify the Board of any changes affecting their application in writing to avoid delays.
Criminal History Disclosure All applicants must disclose any criminal history. Failure to do so may result in denial of the application.
Disciplinary History Applicants must report any past disciplinary actions or license denials in any state or jurisdiction.
Withdrawal Process To withdraw an application, a written request must be submitted before the Board considers licensure.
Healthcare Fraud Considerations Felony convictions may lead to exclusion from licensure as outlined in Section 456.0635(2), Florida Statutes.
Governing Laws The application process is governed by Rule 64B9-15.0035, Florida Administrative Code.

Detailed Guide for Filling Out Cna License To Florida

Completing the CNA License to Florida form is a crucial step in your application process. Following these instructions carefully will help ensure that your application is submitted correctly and efficiently.

  1. Personal Information: Fill in your full name, date of birth, mailing address, and contact numbers. If your mailing address is a P.O. Box, provide a physical address as well.
  2. Equal Opportunity Data: Answer the questions regarding your sex and race. This information is voluntary and for statistical purposes only.
  3. Email Notification: Indicate whether you wish to receive email updates about your application status. If yes, provide your email address.
  4. Applicant Background: List any previous names, the names used during your education, and any prior applications for licensure in Florida.
  5. Criminal History: Answer questions regarding any past convictions or legal issues. If applicable, prepare to submit additional documentation as required.
  6. Proof of Active Certification: Ensure your out-of-state certification is clear, active, and in good standing.
  7. Livescan: Arrange for your fingerprints to be taken by an approved Livescan provider and ensure the results are submitted with your application.
  8. Disclosure Form: Complete the Confidential and Exempt from Public Records Disclosure Form included with your application.
  9. Application Submission: Mail your completed application and all required documents to the Department of Health at the specified address.

After submitting your application, it will be reviewed in the order it was received. Ensure that you keep track of any changes to your information, as these must be reported to avoid delays. Stay informed by checking your email regularly for updates on your application status.

Obtain Answers on Cna License To Florida

  1. What is the purpose of the CNA License to Florida form?

    The CNA License to Florida form is used by individuals who wish to apply for licensure as a Certified Nursing Assistant (CNA) in the state of Florida. This form collects essential information about the applicant's background, qualifications, and any relevant history that may affect their eligibility for licensure.

  2. What documents are required to complete the application?

    Applicants must provide several documents to complete their application:

    • A completed application with a signature.
    • Proof of active certification from another state.
    • A completed Confidential and Exempt from Public Records Disclosure Form.
    • Electronically submitted fingerprints through a Livescan provider.

  3. How should the application be submitted?

    All applications and additional documents should be mailed to the Department of Health, Certified Nursing Assistant Registry at the following address:

    Department of Health
    Certified Nursing Assistant Registry
    4052 Bald Cypress Way, Bin# C-02
    Tallahassee, FL 32399-3252

  4. What happens if I provide false information on my application?

    Providing false information can lead to the denial of your application. The Board of Nursing reviews all applications carefully, and honesty is essential in all responses.

  5. What should I do if my personal information changes after I submit my application?

    If any changes occur, such as a change of name, address, or contact information, the Board office must be notified in writing. Failure to do so may result in delays or denial of your application.

  6. What is the significance of criminal history in the application process?

    Applicants are required to disclose any criminal history beyond minor traffic offenses. Failure to do so may lead to application denial. Each case is evaluated on its own merits, and certain offenses may require additional documentation.

  7. Can I withdraw my application once it has been submitted?

    Yes, you may withdraw your application by submitting a written request. However, this request must be received before the Board considers your licensure.

  8. What is the role of Livescan in the application process?

    Livescan is a method of electronically submitting fingerprints, which is a requirement for all applications. The Florida Department of Law Enforcement must approve the Livescan provider used for this process.

  9. Where can I find more information about the application process?

    Additional information and answers to frequently asked questions can be found on the Florida Board of Nursing's website at http://www.floridasnursing.gov/help-center/#faqs.

Common mistakes

Filling out the CNA License to Florida form can be a daunting task, and many applicants make mistakes that can delay their application process. One common error is submitting an incomplete application. Every question on the application must be answered fully. If any part is left blank, the application will be considered incomplete, leading to delays. Therefore, it's essential to review the application checklist thoroughly before submission.

Another frequent mistake involves providing false information. Honesty is crucial when answering questions on the application. If the Board of Nursing discovers that an applicant has provided misleading or incorrect information, it may lead to a denial of the application. Applicants should take care to answer all questions truthfully to avoid this pitfall.

Many applicants also overlook the need for proof of active certification. If you hold an out-of-state certificate, it must be clear and in good standing. Failing to provide this documentation can result in significant setbacks. It's wise to ensure that all certification documents are current and properly submitted.

Another mistake involves the Livescan fingerprint requirement. All applications must include electronically submitted fingerprints through an approved Livescan provider. Some applicants forget this step, which can delay the entire process. Before submitting the application, check that you have completed this requirement to avoid unnecessary complications.

Additionally, applicants often fail to update the Board of Nursing about any changes in their circumstances. If there are changes to your name, address, or any legal issues, you must notify the Board in writing. Ignoring this requirement can lead to processing delays or even denial of your application.

Finally, some individuals do not provide a self-explanation for any criminal history or disciplinary actions. If you have ever been convicted of a crime or faced disciplinary action in another state, you must disclose this information and provide a detailed explanation. Neglecting to do so could jeopardize your chances of obtaining licensure. It is crucial to be thorough and transparent about your background when completing the application.

Documents used along the form

When applying for the CNA License in Florida, several additional forms and documents may be required to support your application. Each of these documents serves a specific purpose in ensuring a thorough review of your qualifications and background. Below is a list of commonly used forms that accompany the CNA License application.

  • Completed Application Form: This form must be filled out completely and signed. An incomplete application can delay the processing time, so attention to detail is crucial.
  • Proof of Active Certification: Applicants must provide evidence of a clear and active certification from their home state. This document verifies that the applicant is in good standing.
  • Confidential and Exempt from Public Records Disclosure Form: This form is essential for protecting sensitive information within your application. It ensures that certain details remain confidential.
  • Livescan Fingerprint Submission: All applicants must submit electronic fingerprints through an approved Livescan provider. This step is necessary for conducting background checks.
  • Self-Explanation Letters: If applicable, these letters are required to explain any criminal history or disciplinary actions. They provide context and detail regarding past issues that may affect licensure.

Collecting these documents accurately will facilitate a smoother application process. Each piece of information contributes to the overall assessment of your eligibility for licensure as a Certified Nursing Assistant in Florida.

Similar forms

When applying for a Certified Nursing Assistant (CNA) license in Florida, you may encounter several documents that share similarities with the CNA License To Florida form. Understanding these can help streamline your application process. Here’s a closer look at four such documents:

  • Application for Licensure by Examination: This document is required for individuals who have completed a nursing assistant training program and are seeking to take the CNA exam. Like the CNA License To Florida form, it requires personal information, proof of training, and background checks, ensuring that all applicants meet the necessary qualifications.
  • Application for Licensure by Endorsement: For those already licensed in another state, this application allows for the transfer of licensure to Florida. Similar to the CNA License To Florida form, it requires proof of active certification and may also involve a criminal background check, ensuring that applicants maintain a clear record.
  • Background Check Consent Form: This form is crucial for all healthcare professionals, including CNAs. It authorizes the state to conduct a thorough background check, just like the Livescan requirement in the CNA License To Florida form. Both documents emphasize the importance of a clean criminal history in maintaining patient safety.
  • Self-Explanation Letter for Criminal History: If an applicant has a criminal history, they must provide a self-explanation letter detailing the circumstances. This requirement mirrors the need for transparency in the CNA License To Florida form, where applicants must disclose any criminal offenses, ensuring that the Board of Nursing has a complete understanding of each applicant's background.

By familiarizing yourself with these related documents, you can better prepare for the application process and ensure a smoother experience as you pursue your CNA licensure in Florida.

Dos and Don'ts

When filling out the CNA License to Florida form, consider the following guidelines:

  • Do answer all questions completely and honestly. An incomplete application may delay processing.
  • Do provide proof of active certification from your out-of-state certificate. It must be clear and in good standing.
  • Don't omit any criminal history. Failure to disclose can lead to denial of your application.
  • Don't forget to notify the Board of Nursing in writing about any changes that affect your application.

Misconceptions

When applying for a Certified Nursing Assistant (CNA) license in Florida, there are several misconceptions that can lead to confusion and delays in the application process. Here are six common misunderstandings:

  • All applications are processed in the order they are received. Many applicants believe that the order of submission guarantees faster processing. While applications are reviewed in date order, incomplete submissions or errors can significantly delay approval.
  • Only major offenses need to be disclosed. Some applicants think they can omit minor offenses from their criminal history. However, any conviction, even for minor traffic violations, must be reported. Failure to disclose any offense can lead to denial of the application.
  • Fingerprinting is optional. There is a misconception that fingerprinting is not mandatory for the application. In reality, all applications must include electronically submitted fingerprints through an approved Livescan provider.
  • Once submitted, the application cannot be changed. Some believe that after submitting their application, they cannot make any updates. It is crucial to notify the Board in writing about any changes, such as a change of address or criminal history, as failure to do so can result in delays or denial.
  • Letters of recommendation are not necessary. Applicants may think that letters of recommendation are optional. However, those with a criminal history must submit 3-5 letters from people they have worked with to support their application.
  • Withdrawal of the application is simple. Many assume they can withdraw their application without any formalities. In fact, a written request must be submitted prior to the Board's consideration of licensure.

Understanding these misconceptions can help streamline the application process and avoid unnecessary complications. It is essential to follow all guidelines closely and provide accurate information to the Board of Nursing.

Key takeaways

When filling out the Cna License To Florida form, there are several important points to keep in mind:

  • Complete the Application: Ensure that every question is answered honestly. An incomplete application can delay approval.
  • Active Certification: Your out-of-state certificate must be clear and in good standing. This is crucial for your application.
  • Fingerprinting Required: You must submit fingerprints electronically through an approved Livescan provider. This is mandatory for all applications.
  • Notify of Changes: Inform the Board in writing of any changes that may affect your application, such as a change of address or criminal history.
  • Criminal History Disclosure: Be transparent about any past convictions. Failure to disclose this information may lead to application denial.

Following these guidelines can help streamline the application process and improve your chances of obtaining your CNA license in Florida.