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Board of Examiners for
Long Term Care Administrators
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Position Paper (pdf)
Regulation Workshops
Licensing
Licensing
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Nursing Facility Administrator (NFA)
Residential Facility Administrator (RFA)
Health Services Executive (HSE)
CEU Program
CEU Program
AIT
AIT preceptor
Forms
Forms
Disciplinary Actions
Disciplinary Actions
Contact
Contact Information
Board
Agendas and Minutes
Board Members
Code of Ethics
Links
News & Notices
Position Paper (pdf)
Regulation Workshops
Licensing
License Renewal
Nursing Facility Administrator (NFA)
Residential Facility Administrator (RFA)
Health Services Executive (HSE)
CEU Program
CEU Program
AIT
AIT preceptor
Forms
Forms
Disciplinary Actions
Disciplinary Actions
Contact
Contact Information
Forms
All the forms used by the Board can be found below or elsewhere on this site.
AIT/Preceptor Documents
Administrator in Training AIT Requirements
Administrator-In-Training (AIT) Approval
AIT Approved Programs and Preceptors
AIT Certification Program Completion
Application for Preceptor
Preceptor/Administrator-In-Training Agreement
Administrator-In-Training Monthly Report
AIT Certification Program Completion
Continuing Education (CEU) Program
Continuing Education Accreditation Form – Individual
Continuing Education Accreditation Form – Organization
License Renewal Forms
Renewal Instructions
Renewal Application
Fee Schedule
RFA Facilities Fact Sheet
Change/Addition of Facility
Personal Information Update
Nursing Facility Administrator (NFA) Forms
NFA Application Instructions
Initial Application or Reciprocity
Fee Schedule
AIT Program Approved AIT Programs & Preceptors
Licensed Nursing Facility Administrator
Residential Facility Administrator (RFA) Forms
RFA Application Instructions
Initial Application
Fee Schedule
Licensed Residential Facility Administrators
Other Forms
Facilities Fact Sheet
Facilities Fact Sheet
Change or Addition of Facility
License Verification Form
Notice of Termination - Return of License
Credit Card Authorization Form