Temporary Nurse Aide

Please note: The federal waiver expires as of June 6, 2022 and there will be no new applications accepted after this date.

All active Temporary Nurse Aides registration status will expire October 6, 2022.

After June 6, 2022 you will have 4 months to successfully complete the required training and certification. This includes:

  • Pass a CNA exam; or
  • Apply for registration as a nurse aide and work in a facility other than a skilled nursing facility.

Temporary Nurse Aide Application

  • Note: This form is for someone who is obtaining a Temporary NA registration.
    • 8 Hour Training Application

Temporary Nurse Aide Employer Attestation

  • Note: This form is to be completed by the Employer ONLY.
    • Final step to activating the Temporary Nurse Aide Application.
    • Used everytime a new Temporary Nurse Aide is hired.

Temporary Nurse Aide Registration Reapplication

  • Note: This form is to be completed by both the Registrant and the Employer.
    • Used to renew exisiting Temporary Nurse Aide registration.

Temporary Nurse Aide Recruitment Program

Temporary Nurse Aide Recruitment Program Application - For Applicant

  • Note: This form is for someone who is obtaining a Temporary NA registration.
    • 8 Hour Training Application

Temporary Nurse Aide Employer Recruitment Program Initial Attestation - For Employer

  • Note: This form is to be completed by the Employer ONLY.
    • Final step to activating the Temporary Nurse Aide Application.
    • Used everytime a new Temporary Nurse Aide is hired.

Temporary Nurse Aide Employer Recruitment Program One Month Attestation - For Employer

  • Note: This form is to be completed by the Employer ONLY.
    • After 1 month of employment to meet 1st payment requirement.

Temporary Nurse Aide Employer Recruitment Program Five Month Attestation - For Employer

  • Note: This form is to be completed by the Employer ONLY.
    • After 5 months of employment to meet final payment requirement.