The Texas Nurse Aide Registry Form 5506-NAR is a crucial document for Nurse Aides in Texas aiming to verify or recertify their certification. It involves a two-section form; the first section is to be completed by the Nurse Aide, and the second part requires verification from their employer, which must be notarized before sending it to the Texas Nurse Aide Registry. If you are a nurse aide looking to recertify, ensure you fill out the form accurately by clicking the button below.
The Texas 5506-NAR form is an essential document for Certified Nurse Aides (CNA) within the state, facilitating the verification process for their certification status. This form, updated in September 2021, serves a dual purpose by requiring completion from both the nurse aide and their employer. Nurse aides are tasked with providing accurate personal and professional information in Section 1, including any potential disqualifications such as listings on the Employee Misconduct Registry or criminal convictions under Texas Health and Safety Code, §250.006. This section also probes the completion of necessary in-service education, highlighting the state's commitment to maintaining high standards for those involved in patient care. It’s imperative for CNAs to achieve and document completion of 24 hours of in-service education over two years and specific courses in infection control. Meanwhile, Section 2 necessitates employer verification of the nurse aide’s claim, further buttressed by the requirement of a notarized signature, underscoring the legal weight of the form. The instructions detail the proper submission process, including the official email address for the Texas Nurse Aide Registry, emphasizing the importance of a thorough, accurate, and documented verification process for the recertification of nurse aides. This procedure not only adheres to regulatory compliance but also ensures the quality and reliability of care provided to patients, encapsulating the form's significance in safeguarding public health and welfare.
Texas Nurse Aide Registry
Form 5506-NAR
September 2021-E
Employment Verification
Section 1 (To be completed by Nurse Aide. Please read the following instructions before completing this form.)
•Complete all information in Section 1 and sign to verify that the information provided is correct.
•Obtain employer verification (Section 2). Form must be emailed to Texas Nurse Aide Registry at: nurseaideregistry@hhs.texas.gov. To verify your
Certified Nurse Aide (CNA) certification, use the following link: https://emr.dads.state.tx.us/DadsEMRWeb/.
Note: A list of approved in-service education programs can be found at: https://hhs.texas.gov/nar-cbts or https://hhs.texas.gov/nar-approved-inservice. The Texas Nurse Aide Registry will return (without action) incomplete requests and requests without the required documents.
Name of Applicant (Last, First, Middle):
Maiden Name (if applicable):
Mailing Address (Street or P.O. Box):
City:
Social Security No.:
Email Address:
State:
ZIP Code:
Daytime Phone No. with Area Code:
Sex:
Date of Birth:
CNA Certificate No.:
Male
Female
Verification of requirements for Nurse Aide Recertification
Are you listed on the Employee Misconduct Registry (EMR) as unemployable?
Yes
No
Have you been found to have a conviction of a criminal offense listed in Texas Health and Safety Code, §250.006?
If yes, give date of conviction.
Have you completed 24 hours of in-service education in the past two years?
Note: In-service education requirements are subject to audit. Be prepared to submit in-service certificates if contacted by Texas Health and Human Services Commission (HHSC).
Have you completed an HHSC course in infection control and proper use of personal protective equipment (PPE) once each year
in the past 24 months?
Signature – Nurse Aide
Date
Section 2 (To be completed by the Employer – Instructions)
•This section must be completed by the facility program director, official keeper of records or actual employer.
•Notarize employer signature at the bottom of this section and return to nurse aide.
Employer Name or Company Name:
Daytime Area Code and Phone No.:
I certify that the individual named above is/was employed by me as a nurse aide and performed nursing/nursing-related services from
to
and that I am not aware of any disqualifying misconduct.
Comments:
Signature – Employer
Sworn and subscribed to me on this
day of
, 20
, in
County, in the state of
.
Signature – Notary Public
Date Commission Expires
Place Notary Seal or Stamp Here
Tampering with, or attempting to falsify, a government record such as a nurse aide certificate is a third-degree felony punishable by up to 10 years in prison and a $10,000 fine.
Page 2 / 9-2021-E
Address:
•Did you sign and complete all information in Section 1?
•Did your employer notarize his/her signature in Section 2?
Did you know?
•You can verify certificate status by using the following link: https://emr.dads.state.tx.us/DadsEMRWeb/.
•You can download forms from our website: https://hhs.texas.gov/doing-business-hhs/licensing-credentialing-regulation/nurse- aide-registry/nar-forms.
Email the completed form and required documents to the Texas Nurse
Aide Registry at nurseaideregistry@hhs.texas.gov
With a few exceptions, you have the right to request and be informed about the information that the Texas Health and Human Services Commission (HHSC) obtains about you. You are entitled to receive and review the information upon request. You also have the right to ask HHSC to correct information that is determined to be incorrect (Government Code, Sections 552.021, 552.023, 559.004). To find out about your information and your right to request correction, please contact the Nurse Aide Registry at 512-438-2050.
Completing the Texas 5506-NAR Form is a crucial step in maintaining your status as a Certified Nurse Aide (CNA). This form serves as a verification of employment and is necessary for the recertification of CNAs in Texas. To ensure your recertification process is smooth and successful, it's important to fill out the form correctly and submit it with all the required documentation. Below, you'll find step-by-step instructions to guide you through filling out the form accurately. Remember, an incomplete form or a form without the necessary documents will be returned without action, so pay close attention to the details.
Once you have completed all steps, your form and documents will be reviewed by the Texas Nurse Aide Registry. Remember, it's important to keep a copy of all documents sent for your records. Should there be any issues or if additional information is needed, the Texas Nurse Aide Registry will contact you. Stay proactive by verifying your certificate status through the link provided after submission and be prepared to submit additional information if contacted by the Texas Health and Human Services Commission (HHSC).
The Texas 5506-NAR form is designed for the employment verification of Certified Nurse Aides (CNAs) in the state of Texas. This document is essential for CNAs seeking to renew their certification and ensure their eligibility to work. The form is divided into two main sections. The first section is to be filled out by the nurse aide themselves, confirming personal details and compliance with specific requirements. The second part requires completion and notarization by the employer, attesting to the employment status and performance of the nurse aide. This form is necessary for all CNAs in Texas undergoing the recertification process.
Section 1 of the form requires the nurse aide to provide personal information, including their name, mailing address, Social Security Number, email address, and certification number. Additionally, the aide must answer questions regarding their listing on the Employee Misconduct Registry, any criminal convictions relevant to their work, and their completion of required in-service education and training in infection control and proper use of personal protective equipment (PPE) in the last two years. After completing this section, the nurse aide must sign the form, attesting to the correctness of the provided information.
In Section 2, the employer or the facility program director must confirm the employment details of the nurse aide, including the duration of employment and the type of services performed. The employer also needs to clarify that they are not aware of any disqualifying misconduct by the nurse aide. This section requires notarization; therefore, the employer's signature must be witnessed and stamped by a notary public before the form can be returned to the nurse aide for submission.
Once both sections of the form are duly filled and signed, with Section 2 notarized, the completed document should be emailed to the Texas Nurse Aide Registry at nurseaideregistry@hhs.texas.gov. Ensure that all the required fields are filled out correctly and that you attach any requested documents to prevent the form from being returned without action. It's advisable to complete and submit this form well in advance of the re-certification due date to allow sufficient time for processing.
Certified Nurse Aides (CNAs) can verify their certification status by accessing the Texas Department of Aging and Disability Services (DADS) Emergency Management System (EMS) online platform via the link provided in the form instructions (https://emr.dads.state.tx.us/DadsEMRWeb/). This platform allows CNAs to check the status of their certification and any other details related to their registry information. Verification through this portal is an effective way to ensure that one's certification status is current and recognized by state authorities.
Falsifying a government record, including the Texas 5506-NAR form, is a serious offense classified as a third-degree felony. Individuals found guilty of tampering with or attempting to falsify this form face severe penalties, which can include up to 10 years in prison and a fine of up to $10,000. It is crucial to provide accurate and truthful information when completing and submitting this form to avoid legal repercussions.
Completing the Texas 5506-NAR form is crucial for Nurse Aides seeking employment or recertification within the state. However, individuals commonly make mistakes that can delay or impact their certification status. Understanding these errors can streamline the process and ensure applications are processed efficiently.
Avoiding these common errors can help ensure the timely and successful processing of the Texas 5506-NAR form. Applicants should always double-check each section of the form, provide accurate and complete information, and verify that all requirements have been met before submission.
When working with the Texas Nurse Aide Registry Form 5506-NAR, understanding other essential forms and documents that are often used in conjunction can be crucial for a comprehensive approach. These documents serve various purposes, from verifying employment and criminal history to ensuring compliance with state health regulations. They form an essential part of the certification and recertification process for Nurse Aides in Texas.
Each document plays a specific role in ensuring that Nurse Aides meet the stringent requirements set by Texas laws and regulations. By familiarizing themselves with these forms and documents, Nurse Aides and their employers can navigate the certification and recertification process more smoothly, ensuring compliance and promoting the highest standards of care in the healthcare environment.
One similar document to the Texas 5506-NAR form is the Employment Eligibility Verification Form I-9, required by the U.S. Citizenship and Immigration Services. Both forms are crucial for verifying an individual's eligibility – the 5506-NAR for verifying nurse aide certification status in Texas, and the Form I-9 for establishing that employees are legally allowed to work in the United States. Each form necessitates personal information, employment history, and an official verification process, underscoring their roles in compliance and regulatory operations.
The California Department of Public Health (CDPH) 283C form, used for certified nurse assistant (CNA) initial application and certification in California, has functionalities similar to the Texas 5506-NAR form. Both are state-specific forms aiming to maintain standards within the nursing profession by verifying credentials and employment. While the 283C form is more focused on initial certification, the Texas 5506-NAR emphasizes employment verification and is necessary for recertification, drawing parallels in their goals to uphold quality care through accredited personnel.
A similarity can also be found with the Employment Verification Letter, often used by companies to confirm an employee's current or past job status and salary information. Like Section 2 of the 5506-NAR form, an employment verification letter requires an official company signature, sometimes notarization, to validate the employee's work experience. Though broader in usage, both documents serve to officially acknowledge professional experience, crucial for various bureaucratic and personal needs such as loan applications or future employment verification.
The Nurse Aide Verification (NAV) form, used in several states to verify a nurse aide's status on the state registry, parallels the Texas 5506-NAR form in purpose. Although each state might have its specific procedural nuances, the NAV form functions similarly by confirming a nurse aide's certification, ensuring they are in good standing for employment in healthcare settings. Like the 5506-NAR, it plays a fundamental role in safeguarding patient care quality through credential verification.
The Professional Reference Letter shares objectives with the employment verification section of the Texas 5506-NAR. While a professional reference letter is more narrative, outlining an individual's qualities, skills, and professional demeanor, the 5506-NAR's employment verification provides official and concise confirmation of employment status. Both are used to support professional credibility, yet through distinct formats: one through subjective endorsement and the other through objective validation.
The Certified Background Check, commonly conducted for job applicants, mirrors the Texas 5506-NAR's intent to validate the professional conduct and status of nurse aides in Texas. While the certified background check encompasses a broader spectrum including criminal records and educational verification, the 5506-NAR is focused specifically on nursing credentials and employment history. Each serves to ensure the integrity of professionals within sensitive work environments.
Last but not least, the Continuing Education Units (CEU) Verification Form, necessary for various professionals to prove their participation in required continuing education for licensure or certification renewal, shares similarities with the Texas 5506-NAR form's in-service education verification. Both forms are pivotal in demonstrating ongoing professional development and adherence to updated best practices within one's field, though the CEU Verification Form specifically focuses on educational attainment rather than the broader employment and certification scope of the 5506-NAR.
Filling out the Texas 5506-NAR form is a crucial step for Nurse Aides seeking recertification or verification in Texas. Paying careful attention to the form's requirements ensures a smooth process. Here are several do's and don'ts to guide you through completing this important document:
Remember, accurate and attentive completion of the Texas 5506-NAR form is a step toward maintaining your certification and professional standing as a Nurse Aide in Texas. Keep these tips in mind to ensure your submission is complete and processed efficiently.
Understanding the Texas Nurse Aide Registry Form 5506-NAR is crucial for nurse aides seeking recertification in Texas. However, there are several common misconceptions about the form and its requirements. Clarifying these misconceptions is key to ensuring that nurse aides complete the form accurately and meet all the necessary criteria for recertification.
Misconception 1: Completion of Section 1 by the nurse aide is optional.
Truth: Every nurse aide is required to complete Section 1 in full and provide a signature to verify the accuracy of the information provided. This step is mandatory and ensures the nurse aide's accountability for the information submitted.
Misconception 2: Employer verification is not necessary for all applicants.
Truth: Employers must complete and notarize Section 2 for all nurse aides applying for recertification. This process verifies the aide's employment and absence of disqualifying misconduct.
Misconception 3: The form can be submitted without being notarized.
Truth: The employer's signature in Section 2 must be notarized to fulfill the form’s requirements. Notarization adds a layer of verification and legal authenticity to the employer’s declaration.
Misconception 4: Nurse Aides can submit the form via mail or fax.
Truth: The completed form, along with the required documents, must be emailed to the Texas Nurse Aide Registry at the specified email address. This ensures a faster processing and reduces the risk of lost documents.
Misconception 5: In-service education can be deferred.
Truth: Nurse aides must complete 24 hours of in-service education in the preceding two years before recertification. Moreover, they need an HHSC-approved course in infection control and proper use of personal protective equipment (PPE) annually. These requirements are auditable and essential for maintaining high standards of care.
Misconception 6: Any criminal conviction disqualifies an applicant.
Truth: Only convictions of criminal offenses listed in the Texas Health and Safety Code, §250.006, lead to disqualification. Nurse aides must disclose such convictions but should verify whether their specific circumstances disqualify them.
Misconception 7: The Texas Nurse Aide Registry does not provide resources for in-service education.
Truth: The registry offers links to approved in-service education programs. Nurse aides are encouraged to visit the provided websites to find programs that satisfy the recertification requirements.
Misconception 8: Incorrect information on the form has no consequences.
Truth: Providing false information or attempting to falsify government records, including the nurse aide certificate, is a third-degree felony. This can lead to up to 10 years in prison and a $10,000 fine, underscoring the importance of accurate and truthful submissions.
It is imperative for nurse aides and their employers to meticulously follow the instructions when completing and submitting the Texas Nurse Aide Registry Form 5506-NAR. Understanding and addressing these common misconceptions ensures compliance with the requirements, facilitating a smoother recertification process.
When filling out the Texas 5506-NAR form, Certified Nurse Aides (CNAs) must follow specific steps and provide accurate information to ensure their certification is correctly verified and processed. Below are key takeaways to guide you through this process:
This comprehensive approach to completing and submitting the Texas 5506-NAR form is designed to assist Nurse Aides in maintaining their certification and staying compliant with Texas Health and Human Services Commission (HHSC) requirements. Following these steps carefully will help prevent delays or issues in the recertification process.
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