Begin Main Content Area


APPLY ONLINE HERE for the following:

Nursing Home Administrator
Administrator-In-Training Program

To download a paper application, click on a link below:

Application for a Temporary Permit to Act as a Nursing Home Administrator (PDF)
Application for Approval as a Provider of Continuing Education Programs (PDF)
NHA Request for Continuing Education Approval (PDF)
Application for Approval of Continuing Education Program (PDF)


Reactivation Application

(for EXPIRED or INACTIVE licenses)The reactivation application has been moved to an online process. To review the requirements and submit your reactivation application online login to your account at and click the pencil icon next to your license number to start the reactivation process. 


<<Previous Page