Nursing Assistant Registry Forms
From this page you may download form(s) to update your information on the Minnesota Nursing Assistant Registry, or to have your records transferred to the Minnesota Registry from another state. There is NO PROCESSING FEE for the Minnesota Registry.
To view and print the PDF files listed in these documents you will need to download Adobe Acrobat Reader or Adobe Acrobat Reader for Visually Imaired Readers. Adobe provides a free download for these applications at their website.
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Adobe Acrobat Reader
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Adobe
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Nursing Assistant Registry Update Forms
Complete the Nursing Assistant
Registry Update Form if you are currently on the Registry and need to change
or add information to your file.
Download Nursing Assistant Registry Update Form.
Interstate Endorsement Forms
Complete the Interstate
Endorsement Forms if you wish to transfer your certificate to the Minnesota
Nursing Assistant Registry from another state. Please read and follow the directions
on the form(s) carefully. Incomplete forms will delay your transfer to the Minnesota
Registry and will be returned to you.
Download Interstate
Endorsement Forms. (Updated 09/06)
Interstate Endorsement Forms can now be submitted electronically. Please Note: Only Interstate Endorsement Forms will be processed from this site.
Download Instructions to Upload Files for Interstate Endorsement to NA Registry
If you need additional help completing these forms, please contact the Nursing Assistant Registry by telephone or in writing:
Between the hours
of 9:00a.m. and 3:00p.m., Monday thru Friday.
Telephone: (651) 215-8705
Toll Free, Greater Minnesota 1-800-397-6124
P.O. Box 64501
St. Paul, Minnesota 55164-0501
You may also contact the Nursing Assistant Registry by Email at: health.FPC-NAR@state.mn.us