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Ky.gov An Official Website of the Commonwealth of Kentucky
Kentucky Board of Licensure for Nursing Home Administrators

Kentucky Board of Licensure for Long-Term Care Administrators
Applications and Forms

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Note: The documents on this page are in Adobe Acrobat (PDF) format. Please click on the following link to download a free copy of Adobe Acrobat Reader.


 

 Forms Library

 
  
  
  
  
Application and Checklist for Licensure.pdf
  
241 KB 3/21/2016 8:42 AM
Application for Continuing Education.pdf
  
117 KB 4/11/2016 12:33 PM
Endorsement Form.pdf
  
167 KB 1/16/2014 2:52 PM
Form to File a Complaint.pdf
  
89 KB 1/3/2013 3:41 PM
Open Records Request.pdf
  
35 KB 1/3/2013 3:41 PM
Request for Mailing List.pdf
  
103 KB 1/3/2013 3:41 PM