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Name Complete Mailing Address Social Security No and/or CNA No. Area Code and Telephone No. Signature Nurse Aide Date You must submit the following items Completed Form 5528-NAR - signed and dated for all last names ever used Copy of current photo ID Mail your request to Mail Code E-414 P. Texas Department of Aging and Disability Services Form 5528-NAR August 2013-E Texas Nurse Aide Registry Request to Retest for Nurse Aides in Expired Status If...
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Begin the form by providing your personal information such as your name, address, contact details, and social security number. Fill in each section accurately and completely, double-checking for any errors or omissions.
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Proceed to the financial section of form 5528 nar. This section requires you to disclose your income, assets, and liabilities. Provide accurate and up-to-date information to the best of your knowledge.
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The specific circumstances and requirements for needing form 5528 nar may vary depending on the jurisdiction and purpose for which the form is utilized. It is essential to consult the relevant guidelines or consult with a legal professional if you are unsure whether you need to fill out this form.

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