CNA License Reciprocity in Delaware

Fill in the form and submit your application:

1. Complete pages 3 and 4 (Application for Reciprocity) and sign and date the bottom verifying the information is accurate.
2. Page 5 (Employer Verification Form) is to be completed by a current or former employer (within the last 24 months). Verification of employment should include dates of employment, status (FT, PT, or Per Diem), job title, and the total number of hours worked during your tenure. Financial/Salary information is not required for this verification. Completed forms must be notarized. W-2’s will not be accepted for employment verification. Your employer may be contacted to verify the information.
3. Page 6 (Training Program Verification Form) is to be completed by the Training Program Administrator ONLY if the applicant does not have work experience equal to 3 months (full time) or 420 hours. Training must have been completed in a Nurse Aide Training and Competency Evaluation Program (NATCEP) with a total number of hours equal to or greater than that required by the State of Delaware. The requirement for Delaware is 150 total hours (75 hours classroom/theory, 75 hours clinical) in a certified/skilled long-term care facility. The Training Program Administrator may be contacted to verify the validity of submitted documents.
4. Provide verification of current/active State Certification in good standing. Please list ALL States in which you have ever been certified whether currently active or inactive. You do not need to send verification from any State other than the State from which you are transferring.
5. You must include a legible copy of a Government-issued Photo ID that shows your full legal name and your date of birth (preferably a State Driver’s License/Identification or a Passport). You do not need to send a copy of your social security card.
6. You must also include THE SEALED/UNOPENED COPY of the National Practitioner Data Base self-query. Visit https://www.npdb.hrsa.gov/ to request a search of your information; the cost is $4.00 for this self-query. You will be required to submit payment using a credit/debit card. Once your request has been submitted, you will receive both an online response via email, and a sealed copy via US Mail. *DO NOT OPEN THE ENVELOPE WHEN YOU RECEIVE IT* This sealed/unopened copy should be submitted along with your application and other supporting documents. **Applications will be returned if there is evidence of tampering or evidence that the envelope has been opened.
7. You must include a check or money order for $30 (processing fee) to: STATE OF DELAWARE (non-refundable even if your application is denied for any reason).

For support, call the Certified Nurse Aide (CNA) Registry of Delaware at 302-424-8600.