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Board of Long-Term Care Administrators
Forms & Applications

Please be aware that payments made in person to the Board office will not be processed until the next business day, with the exception of renewal payments received on the last day of the month.

 

 

Nursing Home Administrator Forms:

Application for Nursing Home Administrator Licensure

Click here to begin the online application process.

Application for Nursing Home Administrator-In-Training

Click here to begin the online application process.

For a list of licensed Preceptors who volunteered their contact information be posted in a public directory, please click on the following link:  Preceptor Directory

Application for Registration as a Preceptor

Click here to begin the online application process.

Application for Reinstatement

Continuing Competency

 

 

Assisted Living Facility Administrator Forms:

ALFA-Administrator-In-Ttraining (AIT) Education and Experience Matrix

ALFA Application for Licensure

Click here to begin the online application process.

ALFA Application for Reinstatement

Application for ALF Administrator-in-Training (AIT)

Click here to begin the online application process.

For a list of licensed Preceptors who volunteered their contact information be posted in a public directory, please click on the following link:  Preceptor Directory

Application for an “Acting” ALF Administrator-in-Training

Application for Certification as a ALFA Preceptor

Click here to begin the online application process.

Continuing Competency

 

Other Forms

 

National Association of Long-Term Care Administrator Boards (NAB)

 

The above documents are in Microsoft Word format. If you do not have Microsoft Word, you can get the Microsoft® Word Viewer to view and print documents.