Maryland Board of Nursing Criminal History Check
This document provides essential instructions for completing the Criminal History Check for license or certificate renewal in Maryland. It includes detailed steps for submitting fingerprints, verifying identity, and important contact information. Ensure compliance with state regulations to avoid delays in certification.
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How do I fill this out?
To fill out this form, begin by carefully reading all instructions provided. Ensure that all required fields are completed accurately using black ink. Submit the completed form, along with necessary documentation, to the Maryland Board of Nursing.

How to fill out the Maryland Board of Nursing Criminal History Check?
1
Read instructions carefully before starting.
2
Complete all fields accurately in black ink.
3
Sign the form only when instructed.
4
Attach any required documents for verification.
5
Submit the form before the renewal deadline.
Who needs the Maryland Board of Nursing Criminal History Check?
1
Nurses renewing their licenses need this file to complete their CHRC.
2
Healthcare professionals seeking certification in Maryland require this document.
3
Employers in healthcare must verify the background of their employees using this form.
4
Individuals applying for a position in child care must adhere to these guidelines.
5
Persons seeking government jobs may need this document for compliance with state regulations.
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What are the instructions for submitting this form?
To submit this form, complete all required fields and ensure accuracy. Fax the completed form along with any necessary documents to 410-358-3530, attention Rowena McCoy. Alternatively, you may email your documents directly to the Maryland Board of Nursing or submit them through the online renewal application available on their website.
What are the important dates for this form in 2024 and 2025?
Important dates for submitting your Criminal History Check for 2024 and 2025 will be provided on the Maryland Board of Nursing website. Keep an eye on renewal deadlines outlined by the state. Stay informed to ensure timely submissions and avoid delays in your licensing process.

What is the purpose of this form?
The purpose of this form is to facilitate the renewal of licenses and certifications for healthcare professionals in Maryland. It ensures that all applicants undergo a thorough criminal history check to maintain the safety and integrity of public health services. Compliance with this process is vital for both individual professionals and employers in the healthcare sector.

Tell me about this form and its components and fields line-by-line.

- 1. Name: Full name of the applicant.
- 2. Date of Birth: Applicant's date of birth for identification.
- 3. SSN: Social Security Number for background verification.
- 4. Gender: Applicant's gender.
- 5. Address: Current address of the applicant.
- 6. Phone: Contact number of the applicant.
- 7. License Number: Existing license or certification number.
What happens if I fail to submit this form?
Failing to submit this form may result in delays in the renewal process of your license or certification. The Maryland Board of Nursing may be unable to update your credentials, affecting your ability to work legally. It is crucial to adhere to deadlines to avoid complications.
- Delayed Certification: Without timely submission, your certification may be delayed.
- Inability to Practice: Failure to renew may prevent you from practicing in your profession.
- Compliance Issues: Non-compliance could lead to legal ramifications for both you and your employer.
How do I know when to use this form?

- 1. License Renewal: Regular renewal of nursing licenses requires this form.
- 2. New Certification: Apply for new certifications to ensure compliance with state law.
- 3. Background Checks for Employment: Employers may require this for new hires in healthcare positions.
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