Michigan Nursing Assistant Registry Renewal Form - Prometric

Overview of the Nursing Assistant Registry Renewal

In the healthcare sector, maintaining certification is pivotal. As part of these standards, certified nursing assistants (CNA) in Michigan are enforced by the Michigan Nurse Aide Registry to keep their licenses current. In this article, we delve into a crucial tool for this process, the Michigan Nursing Assistant Registry Renewal Form, available on PDFliner. Also known as the Prometric form, this document presents an easy and fast means to renew your certification without undue stress or impedance on your hectic work schedule.

Importance of the Nursing Assistant Registry Renewal

Renewing your place on the nursing assistant registry is super important for CNAs. It makes sure your license stays valid and fresh. If you want to keep your current job or land a new one in the healthcare field, you'll need to have an updated license. Regularly updating your certification can really boost your professional worth and positively influence your career development.

Demystifying the nursing assistant registry renewal form

The nursing assistant registry renewal form is a document designed to initiate the renewal process of your CNA license. Filled entirely and correctly, this document provides the essential information necessary for the Michigan Nurse Aide Registry to verify your qualification for licensure renewal. The form’s fields cover variables such as your personal details, employment history, additional certifications achieved, and professional references, among others.

How to Fill Out Nursing Assistant Registry Renewal Form

Here's a detailed step-by-step guide on how to fill out the Michigan nursing assistant registry renewal form template on PDFLiner:

1. Begin by entering your Social Security Number in the provided boxes. Ensure each number is correctly placed in its designated box.
2. Provide your full legal name including the first name, middle initial (if applicable), and last name in the corresponding fields.
3. Include any previous names if your legal name has changed since your last certification period, accompanied by the appropriate legal documents such as a marriage certificate, divorce decree, or other court documents.
4. Enter your date of birth using the format MM/DD/YYYY in the specified boxes.
5. Fill out your complete address including street address, city, state, ZIP code, and county. The county should only include the first four letters.
6. Add your daytime phone number and email address in the designated fields. Note that the email address is mandatory for the form's processing.
7. On the second page, provide the required employment information starting with the name and address of your employer, including street address or P.O. Box, city, state, and ZIP code.
8. Indicate your date of hire and if you are currently employed at the facility listed. If not, include the date of termination.
9. Attest to the accuracy of the information provided by signing your name in the designated signature box. Also, enter the date next to your signature.
10. For the payment section, choose the method of payment—certified check, money order, or credit card (Visa, MasterCard, or American Express). If paying by credit card, provide the card number, expiration date, and security code. Ensure all payment information is entered correctly.
11. Review all the filled sections for accuracy and completeness to avoid any delays or denial in the renewal of your certification.
12. Mail the completed form along with any required documentation and the $20 non-refundable processing fee to Prometric at the address provided in the form instructions.