Virginia Nurse Aide Reinstatement Application
This file contains detailed instructions for the reinstatement of a Nurse Aide certificate in Virginia. It outlines eligibility requirements, application procedures, and necessary documentation. Essential for individuals seeking to resume their nursing aide certification.
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How do I fill this out?
To fill out this application, ensure you have all necessary documents ready. Follow the checklist provided to confirm you meet all requirements. Take care to fill each section accurately and completely to avoid delays.

How to fill out the Virginia Nurse Aide Reinstatement Application?
1
Review the eligibility requirements for reinstatement.
2
Gather all necessary documents and evidence of nursing activities.
3
Complete the application form thoroughly.
4
Submit your application along with the required fee.
5
Wait for notification regarding the status of your application.
Who needs the Virginia Nurse Aide Reinstatement Application?
1
Nurse aides whose certification has lapsed and want to return to practice.
2
Individuals wishing to reinstate their nurse aide certification after it was revoked.
3
Nurse aides who have not worked in nursing-related activities for over two years but want to maintain their certification.
4
Recent graduates from nurse aide programs who need to complete the reinstatement process.
5
Healthcare facilities seeking to ensure their staff have the necessary certifications to provide care.
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1
Open the PDF file in PrintFriendly.
2
Select the areas you want to edit.
3
Make the necessary changes to your application form.
4
Review the edits to ensure accuracy.
5
Download the updated file for submission.

What are the instructions for submitting this form?
To submit your application, please follow these instructions: Mail the completed application form along with the $30 fee to the Virginia Department of Health Professions, Board of Nursing at 9960 Mayland Drive, Suite 300, Perimeter Center, Henrico, Virginia 23233. You can also provide certified copies of court records if required for criminal history disclosures. Make sure to include your application in a secure envelope to prevent any loss during mailing.
What are the important dates for this form in 2024 and 2025?
For the upcoming years, be mindful of the application submission deadlines. Ensure all documents are provided well in advance to meet the Board's timeframe. Keeping track of these dates is essential for a smooth reinstatement process.

What is the purpose of this form?
The purpose of this form is to facilitate the reinstatement process for lapsed nurse aide certifications in Virginia. It ensures that all applicants meet the required standards set by the Virginia Board of Nursing. Proper completion and submission of this form help maintain the quality of care provided by nursing aides.

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

- 1. Applicant Name: Fields for last name, first name, middle name, and maiden name.
- 2. Mailing Address: Full address where the applicant currently resides.
- 3. Social Security Number: A mandatory field for identification purposes.
- 4. Certificate Number: An important number for tracking the applicant's previous certification.
- 5. Date of Birth: Date of birth for identification.
- 6. Contact Information: Applicant's email and telephone number.
What happens if I fail to submit this form?
Failing to submit this form may result in an extended lapse in certification. This could affect your ability to work as a nurse aide in Virginia. Timely submission is critical to ensure you can return to practice without significant delays.
- Loss of Certification: Not submitting on time may lead to permanent loss of your certification.
- Employment Impact: An lapsed certification may affect current job status and future employment opportunities.
- Increased Fees: Delays in submission may result in needing to pay additional fees and reapply.
How do I know when to use this form?

- 1. Lapsed Certification: When your nurse aide certification has expired.
- 2. Post Disciplinary Action: If your certification was suspended or revoked.
- 3. Change in Circumstances: After resolving issues that previously prevented your certification.
Frequently Asked Questions
What is the application fee for reinstatement?
The application fee for reinstatement is $30 and is non-refundable.
How long does it take to process the application?
Application processing times typically range from 30 to 45 business days.
What documents do I need to submit?
You need to include a completed application, proof of nursing work, and a payment method.
Can I edit my application after I've filled it out?
Yes, you can easily edit your application using PrintFriendly before submitting it.
Is there a time limit for submitting my application?
Applications are retained for one year; all requirements must be met within this timeframe.
How can I check the status of my application?
You can check your license or certification status online at the Virginia Department of Health Professions site.
What happens if I don't meet the work requirement?
If you do not meet the work requirements, you will need to re-take the nurse aide competency exam.
How do I submit my application?
Applications can be submitted by mail with accompanying documents and fee.
What if I have a criminal record?
You must disclose any convictions and provide certified court documents with your application.
Will my previous certification affect my application?
If you have had a previous finding of abuse or neglect, it may impact your eligibility for reinstatement.
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