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 for licensure by Education, Endorsement or Credentials.
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
- Monthly Report for AIT
- Documentation of Completion Form
- Proposed AIT Program Training Plan/Domains of Practice
- Notice of Change of Status or Discontinuance
Application for Registration as a Preceptor
Click here to begin the online application process.
To access the Preceptor FAQs click here.
Application for Reinstatement
Continuing Competency
Assisted Living Facility Administrator Forms:
ALFA-Administrator-In-Training (AIT) Education and Experience Matrix
ALFA Application for Licensure
Click here to begin the online application process for licensure by Education, Endorsement or Credentials.
ALFA Application for Reinstatement
- Assisted Living Facility Administrator (ALFA) Reinstatement Application
- Preceptor Reinstatement Application
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- Monthly Report for AIT
- Documentation of Completion Form
- Proposed AIT Training Plan/Domains of Practice
- Notice of Change of Status or Discontinuance
Application for Certification as a ALFA Preceptor
Click here to begin the online application process.
Continuing Competency
Other Forms
- Name and Address Change Form
- Request for Verification of Virginia NHA or ALFA License
- Out-of-state temporary practitioner reporting form
National Association of Long-Term Care Administrator Boards (NAB)
- Visit NAB’s website and register to take the NAB exam.
- Visit NAB's website to download a PDF or MSWord copy of their Candidate Handbook and register to take NAB.
- Visit NAB's website to download a PDF copy of their AIT Program Manual.
To view the PDF files on this page, you'll need the free Adobe Acrobat Reader. For the other files you'll need Microsoft Word or the free viewer.