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Homepage ➾ Official Cna License To Florida Template
Overview

Moving a Certified Nursing Assistant (CNA) license to Florida entails a comprehensive process, orchestrated by the Florida Board of Nursing, to ensure that applicants are thoroughly vetted and meet all necessary requirements for certification in the state. Applicants are required to submit a completed application with signature, verifying that all provided information is complete and truthful, as failure to do so may lead to application delays or denial. Essential components of the application process include proof of active certification from another state that is clear, active, and in good standing, alongside a Confidential and Exempt from Public Records Disclosure Form. A crucial step in the application process is the Livescan electronic fingerprint submission, which is mandatory for all applications and must be performed by a Livescan provider approved by the Florida Department of Law Enforcement. To assist applicants, the Department of Health provides a list of approved vendors. Additionally, applicants must be prepared to disclose any criminal history, which will be meticulously reviewed, potentially requiring further documentation such as final dispositions or letters of recommendation. Furthermore, the application mandates the reporting of any disciplinary history against the applicant’s healthcare license in any jurisdiction, which is a critical factor in the Florida Board of Nursing’s final decision. It’s also important for applicants to notify the Board office of any changes that could affect their application status, including name or address changes, new criminal convictions, or changes in licensure status. This detailed and careful screening underscores Florida’s commitment to maintaining a high standard of patient care by ensuring that only qualified individuals are granted the privilege to work as CNAs within the state.

Example - 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"TLFE2VFTUJPOTBCPVU-JWFsDBOplease visit our website at: http://www.flhealthsource.gov/background-screening/

Our current ORI number is EDOH4400Z.

IUUQ GMPSJEBTOVSTJOHHPWGPSNTFMFDUSPOJDGJOHFSQSJOUJOHGPSNDOBCZFYBNQEG

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,

please visit our website at: http://floridasnursing.gov/licensing/certified-nursing-assistant-endorsement/.

DH-MQA 5022 06/18, Rule 64B9-15.0035, FAC

Florida Board of Nursing

PO Box 6330

Tallahassee, FL 32314

Phone: (850) 245-4125

Fax: (850) 617-6460

Certified Nursing Assistant Licensure by Endorsement Application

Website: www.floridasnursing.gov

Email: mqa.cna@flhealth.gov

Please complete this application in its

entirety prior to printing.

1.PERSONAL INFORMATION

Name:

 

 

 

 

 

Date of Birth:

 

 

Last/Surname

First

 

Middle

 

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)

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 CFR 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:

Male

Female

RACE:

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 64B9-15.0035, FAC

Page 1

NAME

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.

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.Have you ever applied for licensure by examination in Florida, as a CNA? Date

Yes No

E.Have you ever applied for licensure by endorsement in Florida, as a CNA? Date

Yes No

F.Have you ever been licensed in Florida as a CNA? Date

Yes No

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.

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NAME

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.

3.

A.

B.

C.

CRIMINAL HISTORY

Answers to commonly asked questions can be found on our website at:

 

 

 

http://www.floridasnursing.gov/help-center/#faqs

Yes

No

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 Have you EVER had any records sealed pursuant to section 943.059, F.S., or other states

 

 

applicable statute?

Yes

No

Have you EVER been adjudicated delinquent?

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:

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.

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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/

LIVESCAN PRIVACY STATEMENT

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.

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NAME

5.

A.

B.

C.

DISCIPLINARY HISTORY

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 No 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?

Yes No Do you have disciplinary action pending against any 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 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.

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.

1. Yes No 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?

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?

b.

Yes

No 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?

c. Yes No 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).

DH-MQA 5022 06/18, Rule 64B9-15.0035, FAC

Page 5

NAME ______________________________________________

d. Yes 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?

2.

e. Yes No

Yes No

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).

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)?

3.

4.

5.

If you responded “No” to the question above, skip to question 3.

a.

Yes

No If “Yes” to 2, were you arrested or charged for the felony or felonies after July 1, 2009?

b. Yes No 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?

Yes No Have you ever been terminated for cause from the Florida Medicaid Program pursuant to Section 409.913, Florida Statutes?

If you responded “No” to the question above, skip to question 4.

 

Yes

No 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

No

Have you ever been terminated for cause, pursuant to the appeals procedures

 

 

established by the state, from any other state Medicaid program?

If you responded “No” to the question above, skip to question 5.

a. Yes No Have you been in good standing with a state Medicaid program for the most recent five years?

b. Yes No Did the termination occur at least 20 years before to the date of this application?

Yes No 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?

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Page6

7.

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.

Last Name:

First Name:

Middle Name:

Social Security Number:

(Input with dashes)

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.

Board of Nursing

4052 Bald Cypress Way, Bin # C02

Tallahassee, Florida 32399-3252

Phone: (850) 245-4125 Fax: (850) 617-6460

Website: www.floridasnursing.gov

DH-MQA 5022 06/18, Rule 64B9-15.0035, FAC

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NAME

8. HEALTH HISTORY (Supporting documentation should be sent directly to the board office.)

A. Yes No

B. Yes No

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?

.

If you answered “Yes” to any of the questions in this section, you are required to send the following items:

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.

Self Explanation, explaining the medical condition(s) or occurrence(s) and current status.

DH-MQA 5022 06/18, Rule 64B9-15.0035, FAC

Page8

➤ Cna License To Florida PDF

File Specifications

Fact Detail
1. Governing Law Rule 64B9-15.0035, FAC
2. Application Validity Applications are reviewed in the order they are received.
3. Signature Requirement The application must be completed with a signature to be considered.
4. Honesty Policy Providing false information can lead to denial of the application.
5. Certification Verification Applicant must have an active, clear, and good standing out-of-state certificate.
6. Livescan Fingerprinting Applicants must submit fingerprints electronically through a Livescan provider approved by the Florida Department of Law Enforcement.
7. Criminal History Disclosure Failure to disclose criminal history may lead to application denial.
8. Disciplinary and Criminal Records Submission Documents and self-explanations for criminal convictions or health care license disciplinary actions are required.
9. Withdrawal of Application Requests to withdraw must be made in writing before licensure consideration.
10. Healthcare Fraud Notice Applicants may be excluded from licensure if their felony conviction falls into certain timeframes as per Section 456.0635(2), Florida Statutes.

Instructions on Filling in Cna License To Florida

Filling out the Certified Nursing Assistant (CNA) License to Florida form is a crucial step towards practicing in the state if you are currently certified in another state. It's important to carefully complete the application to ensure there are no delays in the processing of your application. Here are simple steps to guide you through the process:

  1. Begin with the Personal Information section. Fill out your full name (Last/Surname First Middle), followed by your date of birth in the MM/DD/YYYY format.
  2. Enter your Mailing Address where you want the mail and your license to be sent. This includes street/P.O. Box, apartment number, city, state, zip code, and country.
  3. Provide your Home/Cell Telephone number including dashes.
  4. If your mailing address is a P.O. Box, you must provide a Physical Location address where you can be found.
  5. Fill in your work/cell telephone number including dashes.
  6. Under EQUAL OPPORTUNITY DATA, select your sex and race. This information is for statistical purposes only and does not affect your candidacy for licensure.
  7. Indicate if you want to be notified about your application status via email by checking "Yes" and writing your email address in the provided space. Remember, under Florida law, email addresses are public records.
  8. In the APPLICANT BACKGROUND section, list any other names you've been known by, the names used during your education and first licensure, and answer questions regarding previous applications and licensure as a CNA in Florida or elsewhere.
  9. For the question on whether you have ever been denied or are now in any proceeding to deny your application for any healthcare license, if "Yes", provide a self-explanation.
  10. List all CNA licenses you have held, including the state/country, license number, type, date of licensure, status, and expiry date.
  11. In the CRIMINAL HISTORY section, answer honestly about any convictions, sealed records, or adjudicated delinquency, except for minor traffic offenses. If "Yes", you must include a self-explanation, final dispositions and arrest records, completion of sentence documents, and three current letters of recommendation.

After meticulously filling out every section, verify the completeness of your application against the provided checklist. Make sure to append your signature on the completed application. Remember, incomplete forms or false information can delay or result in denial of your application. All documents submitted become a permanent part of your file and cannot be returned. Applications are processed in the order they are received. Accurate and honest answers, along with the required documentation, will help in the smooth processing of your application.

Mail your application along with any additional documents to the Department of Health Certified Nursing Assistant Registry at the provided address. Updating the Board office of any changes after your application submission is crucial for avoiding processing delays or denials. Criminal history, healthcare fraud, and any disciplinary actions on your license are serious considerations, so provide thorough and honest documentation for each if applicable. With careful attention to these steps, your path to becoming a CNA in Florida is well underway.

Understanding Cna License To Florida

What steps do I need to follow to ensure my CNA license application to Florida is complete?

To ensure your Certified Nursing Assistant (CNA) license application to Florida is complete, follow this checklist: submit a completed application with your signature, ensure that all questions on the application are answered truthfully, provide proof of your active certification from another state that is clear, active, and in good standing, complete the Confidential and Exempt from Public Records Disclosure Form, and include your electronically submitted fingerprints through a Livescan provider approved by the Florida Department of Law Enforcement. Review your application for any inaccuracies or omissions to avoid delays.

What should I do if I need to update any information on my application?

If you need to update any information on your application, you must notify the Board office in writing. This includes changes such as a new name, address, telephone number, or updates to your criminal or disciplinary history. Failing to promptly update your application could delay the processing or lead to a denial of your application.

Can my CNA application be denied for not disclosing criminal history?

Yes, failing to disclose your criminal history can result in your CNA application being denied. It is essential to list all offenses, excluding minor traffic offenses, honestly. The application should include misdemeanors and felonies, even if adjudication was withheld. Each application is reviewed individually, and failure to provide complete and accurate information about your criminal history may negatively impact the review process.

What happens if I decide to withdraw my CNA application?

If you decide to withdraw your CNA license application, you must submit your withdrawal request in writing. This request needs to be received before the Board considers your application for licensure. Following this process ensures proper handling of your application status.

How do I provide proof of my active certification when transferring my CNA license to Florida?

Proof of your active certification should be submitted with your application. Your out-of-state certificate must be current, clear, and in good standing. Ensure all relevant documents that verify your certification status are included with your application packet to streamline the endorsement process.

What if I have a criminal history? What specific documents do I need to provide?

If you have a criminal history, you must submit the following: a self-explanation letter describing the circumstances of each offense, final dispositions, and arrest records for all offenses obtained from the Clerk of the Court in the arresting jurisdiction, documents confirming the completion of your sentence, and three current letters of recommendation. Providing comprehensive documentation is crucial for a thorough review of your application.

What do I need to know about electronic fingerprinting for my application?

Your application must include electronic fingerprints submitted through a Livescan provider approved by the Florida Department of Law Enforcement. You can find a list of approved Livescan vendors and the necessary ORI number for the Department of Health on the Florida health source website. Electronic fingerprinting is required for a background check as part of your application process.

If I have had disciplinary action taken against my license in another state, what should I do?

If you have had disciplinary action taken against your license in another state, jurisdiction, or country, you must provide a self-explanation of all occurrences and ensure that the State Board(s) of Nursing involved send copies of the administrative complaint and final order directly to the Florida Board. It's your responsibility to make sure the Florida Board receives the proper documentation. This information helps in the evaluation of your application for licensure by endorsement.

Common mistakes

Filling out the CNA License to Florida form is a critical step towards practicing as a Certified Nursing Assistant (CNA) in the state of Florida. However, applicants often make mistakes that can delay or adversely affect their licensure process. Here are eight common mistakes to avoid:

  1. Not Completing the Application Thoroughly: An incomplete application, including missing signatures, can significantly delay the approval process.
  2. Providing False Information: Honesty is crucial on your application. The Board of Nursing may deny your application if it contains false information.
  3. Forgetting to Include Proof of Active Certification: Your out-of-state certification must be clear, active, and in good standing. Failing to prove this can halt your licensure process.
  4. Overlooking the Confidential and Exempt from Public Records Disclosure Form: This form is an essential part of the packet and must be included.
  5. Ignoring the Livescan Requirement: All applications must include fingerprints submitted electronically through a Livescan provider approved by the Florida Department of Law Enforcement. Not adhering to this can result in an incomplete application.
  6. Not Notifying the Board of Changes: If any information changes that affect your application's details, such as your address or criminal history, failure to notify the Board in writing could result in delays or denial.
  7. Omitting Criminal History: Applicants must disclose any criminal history, except for minor traffic offenses. Failure to disclose can lead to denial, with each application judged on its own merits.
  8. Forget to Provide Supporting Documents for Criminal History: If you have a criminal history, necessary documentation includes final dispositions, completion of sentence documents, a self-explanation, and letters of recommendation.

Avoiding these mistakes can smooth the path to receiving your CNA license in Florida. Remember, the key to a successful application lies in attention to detail, honesty, and thoroughness in providing all requested information and documents.

Documents used along the form

When applying for a Certified Nursing Assistant (CNA) License to practice in Florida, applicants need to prepare beyond the primary application form. This endeavor requires meticulous compilation of necessary documentation to ensure a complete and persuasive application package. Such diligence is not just beneficial but essential for the smooth processing of the application. Several other forms and documents often accompany the main CNA License to Florida application, which are crucial for a comprehensive evaluation by the Florida Board of Nursing.

  • Criminal Background Check Results: Given the sensitivity of the role, a comprehensive criminal background check is a prerequisite. The Livescan service, as mentioned in the primary application, provides electronic fingerprint submission services approved by the Florida Department of Law Enforcement. This report ensures the candidate meets the moral and legal standards expected of healthcare professionals.
  • Proof of Education and Training: Documentation verifying successful completion of a state-approved nursing assistant training program is required. These documents serve as proof that the applicant possesses the fundamental knowledge and skills requisite for competent performance in their duties as a CNA.
  • Verification of Out-of-State License: For applicants transferring their certification from another state, a verification of their current active license is necessary. This document confirms the license's status and standing in the original issuing state, ensuring that the applicant's certification is clear, active, and in good standing.
  • Disciplinary Action and Administrative Penalty Records: If an applicant has ever faced disciplinary action, surrendered a license, or faced any administrative penalties in their career, detailed records and a comprehensive explanation of these events must be submitted. This documentation is critical for the Board to assess the circumstances and implications of past actions on the candidate’s suitability for licensure in Florida.

In conclusion, while the path to securing a CNA License in Florida necessitates navigating through a series of bureaucratic steps, understanding and preparing the essential accompanying documents can significantly streamline the process. Each piece of documentation plays a pivotal role in painting a comprehensive picture of the applicant's background, competencies, and fitness for the role. Therefore, prospective CNAs must approach this process with attention to detail and thorough preparation to facilitate a favorable outcome.

Similar forms

The CNA License to Florida form is an essential document for certified nursing assistants seeking licensure by endorsement in Florida. It embodies several elements common to various other official forms and applications. Here are seven documents similar to the CNA License to Florida form and their resemblances:

  • Medical License Application: Similar to the CNA License to Florida form, this type of application requires comprehensive personal information, proof of qualifications, and a background check, including criminal history and any disciplinary actions in other states.
  • State Bar Exam Application: Those applying to take a state bar exam must provide detailed personal information, educational background, and undergo a thorough character and fitness review, akin to the criminal and disciplinary history section in the CNA form.
  • Professional Certification Applications (e.g., CPA, PE): Similar to the CNA application, these require submission of educational credentials, proof of experience, and sometimes a Livescan fingerprinting process for a background check.
  • Driver’s License Application: While different in purpose, a driver's license application shares similarities such as the need for personal information, proof of identity, and in some cases, a background check to identify any criminal history that might affect one's eligibility.
  • Passport Application: Applicants must provide comprehensive personal details, proof of citizenship, and undergo checks to ensure they have no issues that could bar them from receiving a passport, reflecting the identity and background verification aspects of the CNA form.
  • College Application: College applications require personal information, educational history, and sometimes, disclosures about disciplinary actions or criminal history, mirroring parts of the CNA form’s requirements.
  • Employment Application Forms: These often require detailed personal information, past work experience, disclosures about criminal history, and references, analogous to the sections in the CNA application that ask for background information and letters of recommendation.

Each of these documents shares common features with the CNA License to Florida application, including the need for accurate personal information, proof of qualifications or identity, and disclosures related to one’s background. This underscores the importance of honesty and thoroughness in completing such forms, as misinformation can lead to denial or revocation of licensure, certification, or other sought-after statuses.

Dos and Don'ts

When seeking to transfer your Certified Nursing Assistant (CNA) License to Florida, the thorough completion of your application is crucial for a smooth transition. Below are essential dos and don'ts to consider while filling out the CNA License to Florida form:

  • Do ensure that your application is fully completed, including your signature. Incomplete applications can significantly delay the approval process.
  • Do provide honest answers to every question on the form. The Board of Nursing may deny your application if false information is detected.
  • Do include proof of your active certification from another state that is clear, active, and in good standing.
  • Do complete and attach the Confidential and Exempt from Public Records Disclosure Form.
  • Do submit fingerprints electronically through an approved Livescan provider, as indicated by the Florida Department of Health.
  • Don't forget to notify the Board office in writing of any changes that may affect your application, such as change of address or criminal history.
  • Don't withhold any information regarding criminal history, disciplinary actions, or healthcare fraud, as failing to disclose such information could lead to the denial of your application.

Remember, each application is reviewed individually, and any oversight or omission can result in unnecessary delays or denial. Therefore, it's paramount to approach this process with attention to detail and full disclosure. Following these guidelines will help facilitate a smoother review process and increase the chances of a favorable outcome for your licensure in Florida.

Misconceptions

When it comes to applying for a Certified Nursing Assistant (CNA) license in Florida, there are a few common misconceptions that need clearing up. Understanding the application process is crucial for a smooth transition and ensuring you meet all required guidelines.

  • Misconception 1: You can only submit your application online.

    Clarification: While the Department of Health provides a lot of information online, your application and additional documents must be mailed to the Certified Nursing Assistant Registry at their provided address.

  • Misconception 2: You can get your application documents back if you need them.

    Clarification: Once submitted, all documents become a permanent part of your file with the Department of Health and cannot be returned.

  • Misconception 3: Leaving some questions unanswered in the application is okay.

    Clarification: Every question on the application must be answered, as an incomplete application will delay the final approval process.

  • Misconception 4: You don't need to notify the Board if your personal information changes after submitting the application.

    Clarification: You must inform the Board office in writing of any changes that affect your application responses, such as change of name or address, to avoid processing delays or denials.

  • Misconception 5: Minor traffic offenses need to be disclosed in the criminal history section.

    Clarification: You do not need to list minor traffic offenses unless they are DUI, DWI, reckless driving, or driving with a suspended license, which must be declared.

  • Misconception 6: The application process is the same regardless of past criminal convictions.

    Clarification: Applicants with criminal convictions may be required to submit additional documents like final dispositions/sanctions, probation records, self-explanations, and letters of recommendation for a thorough review by the Board of Nursing.

  • Misconception 7: Having a criminal history automatically disqualifies you from receiving a license.

    Clarification: Each application is reviewed on its own merits, and having a criminal history doesn't automatically disqualify you. The Board of Nursing considers various factors, including the nature of the crime and rehabilitation evidence.

Understanding these key points can help applicants navigate the licensing process more effectively, reducing delays and increasing their chances of a favorable outcome.

Key takeaways

When applying to transfer your Certified Nursing Assistant (CNA) license to Florida, following the guidelines precisely ensures a smoother process. Here are key takeaways to consider:

  • Complete every section of the application, as incomplete applications delay the approval process. This ensures that your application is processed in a timely manner without unnecessary delays.
  • It's mandatory to have a Clear/Active certification that's in good standing from your current or previous state. This acts as proof of your eligibility and competence as a CNA.
  • All submitted documents become a part of your permanent file and are not returnable. This highlights the importance of retaining personal copies of all documents for your records.
  • Applications are processed in the order they are received. Therefore, submitting your application early could potentially expedite your licensure.
  • Honesty in answering all questions is crucial. Providing false information can lead to your application being denied by the Board of Nursing.
  • Include fingerprints through Livescan from an approved provider. The integration of electronic fingerprinting streamlines the background check process, making it more efficient.
  • Update the Board office with any changes that could affect your application. Changes like a new address or legal issues could impact the processing of your application.
  • If you have a criminal history, disclosing it is mandatory, with specific guidelines on the documentation required to support your application. Each application is assessed individually, meaning the context and severity of past offenses are considered critically.
  • Applicants with a disciplinary history in any healthcare profession must provide a detailed explanation, including documents from State Board(s) of Nursing. This ensures a comprehensive review of your professional conduct and integrity.

Following these guidelines closely can significantly impact the success of your application, facilitating a smoother transition in obtaining a CNA license in Florida.

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