Virginia Law

Administrative Code

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Virginia Administrative Code
Title 18. Professional And Occupational Licensing
Agency 95. Board of Long-Term Care Administrators
Chapter 20. Regulations Governing the Practice of Nursing Home Administrators
3/29/2023

FORMS (18VAC95-20).

Checklist and Instructions for Nursing Home Administrator Application for Initial Licensure (rev. 7/2021)

Checklist and Instructions for Nursing Home Administrator Application by Endorsement (rev. 7/2021)

Checklist and Instructions for Nursing Home Administrator-in-Training (rev. 12/2022)

Nursing Home Administrator-in-Training Notice of Change of Status or Discontinuance (rev. 7/2020)

Checklist and Instructions for Nursing Home Administrator Preceptor Application (rev. 7/2021)

Preceptor Reinstatement Application (rev. 9/2022)

Checklist and Instructions for Nursing Home Administrator Reinstatement Application (rev. 7/2021)

Monthly Report of Nursing Home Administrator-in-Training (rev. 12/2022)

Nursing Home Administrator-in-Training Documentation of Completion Form (rev. 12/2022)

Proposed Administrator-in-Training Program Training Plan Domains of Practice (rev. 12/2022)

Continuing Education Affidavit of Completion for Nursing Home Administrators (rev. 12/2022)

Continued Education (CE) Credit Form for Volunteer Practice (rev. 7/2020)

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