Nurse Aide Renewal Application

Renewal Process Overview

Read the following instructions carefully before proceeding with the online renewal process.

This renewal form is designed to renew your NA registration only.

  • If you have a Medication Aide Registry, Home Health Aide Registry or Certified Nurse Aide Registry; Please use the appropriate renewal form. Each form is listed separately on If you would like to verify your registry please visit our verification site.
  • Complete the Nurse Aide Renewal Application and submit the necessary documents.
  • The Application Fee is $25 (U.S. dollars) Non-refundable.
    • Credit card payment must be remitted at time of application submission.

Required Documentation and Information

Prior to beginning the application please ensure you have all the correct documents. The documents will be required to be uploaded.

  • Verification of Competence - The Verification of Competency Section is to be completed by either your Employer or a Licensed Nurse.
  • If you answered "Yes" to any of the questions in the Personal Background History, an explanation and any relevant documentation as requested at the end of that section must be submitted with the application. If you cannot send a copy of the criminal judgment, please include that in your explanation.

During online renewal, please do not use the back button in your browser. To make a change to answers on a previous page or to review your renewal before submitting, please use the "Save for Later" button to save your application, log back in and access and review the previous pages. If at any time you wish to exit the process, please click the "Exit" button located at the bottom of the page.

If you will be away from your computer for any period of time after starting your online renewal, it is strongly advised that you click on the "Save for Later" button located at the bottom of each page to minimize the risk of losing the data that you have input into the system. You can then log back into the renewal at a later time.


Please login below to complete the renewal. Contact the Registry office if you have any questions about the renewal form.