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Nursing Home Administrators Licensing Board - Applications & Forms

Applications

• Nursing Home Administrator Application
• Administrator-In-Training Application
• Temporary Nursing Home Administrator Application
• Endorsement ("Reciprocity" / "Comity") Application
• Multi-Level Long Term Care Facility Administrator Application
• Residential Care Facility Administrator Application

Forms

• 2013 Examination Notice
• CEU Post-Approval Request form
• Credit Card Authorization form
  To authorize payment of fees by Visa or MasterCard.

 

If you cannot find what you are looking for, click HERE to send an e-mail message to the Nursing Home Administrators Licensing Board.

 

Last Updated: May 13, 2013

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CONTACT US

• Nursing Home Administrators Licensing Board
• 35 State House Station
• Augusta, ME 04333-0035
• phone: (207) 624-8626
• fax: (207) 624-8637
• TTY users call Maine relay 711
• Program Staff

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