CDPH 500AIT Application for Nursing Home Administrator State Examination and License CDPH 501Administrator in Training (AIT) Evaluation Report CDPH 503Application for Nursing Home Administrator State Examination CDPH 504Application for Nursing Home Administrator State Examination and License CDPH 505Application for Nursing Home Administrator
National Examination CDPH 506Application for Nursing Home Administrator
License CDPH 507Application to Become an Administrator-in-Training (AIT) CDPH 508Application to Become a Provider
of Continuing Education CDPH 509Continuing Education Courses Completed
for Active License Renewal CDPH 510Declaration and Request for Replacement License CDPH 511Instructor Application for C. E. Credit CDPH 512License Renewal Affidavit for Nursing Home Administrators CDPH 513Licensee's Request for Course Approval CDPH 515Preceptor Continuing Education Credit
Application CDPH 516NHAP Preceptor Training Registration Form CDPH 517Provider Request for Course Approvals for Seminars, Workshops, and Conferences CDPH 518Provider Request for Course Approval CDPH 519Provider Request for Course Renewal CDPH 520Re-Examination Application for Nursing Home Administrator State Examination CDPH 521Re-Examination Application for Nursing Home Administrator National Examination CDPH 523Special Accommodation Request for Examination CDPH 524Master’s or Reciprocity Application for Nursing Home Administrator Examination CDPH 525Application for Provisional License |