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The 5508-NAR form serves as a crucial tool for individuals seeking to amend their Nurse Aide Registry information in Texas. This form allows nurse aides to request changes such as corrections to their registry data, address name changes, and rectify any errors reflected on their certificates. When filling out the 5508-NAR form, applicants must provide personal details, including their name, social security number, and date of birth. Furthermore, it requires the attachment of supporting documentation, such as a photocopy of one's picture ID to confirm identity and name, as well as legal documents for name changes. It’s important to complete the form accurately, as incomplete requests or those lacking essential documents may be returned without action. Additionally, individuals must be mindful of the legal implications of tampering with government records, which is a serious offense. To initiate the process, applicants are instructed to submit the completed form and the requisite documents to the Texas Nurse Aide Registry via email. Awareness of the ability to verify certificate status and access additional forms online further simplifies the submission process. Ultimately, this form not only helps maintain accurate records but also safeguards the rights of nurse aides regarding their personal information.

5508 Nar Example

Form 5508-NAR

June 2021-E

Texas Nurse Aide Registry

Request for Change/Correction to Nurse Aide Registry Data

Please read all instructions before completing this form. Complete the following information.

Attach a legible photocopy of a picture identification that shows your birth date and the correct spelling of your name.

Attach other documents as required below

Email the completed form and required documents to the Texas Nurse Aide Registry at nurseaideregistry@hhs.texas.gov.

I request the following (check all that apply):

Correction to the Nurse Aide Registry database. The information provided below is correct.

Misprint on certificate received (attach your certificate).

Name Change (Attach your certificate and a photocopy of your marriage license, portion of divorce decree showing name change or other court order indicating a name change).

Other

(please specify)

Name of Applicant (Last, First, Middle)

Maiden Name (if applicable)

Social Security No.

Sex

Date of Birth (mm/dd/yyyy) Email Address

Male Female

Mailing Address (Street or P.O. Box, Rural Route, Apartment Number, etc.)

City

State

ZIP Code

Area Code and Telephone No.

By my signature, I certify that the information provided above is correct.

Signature – Nurse Aide

Date

Notes:

The Texas Nurse Aide Registry will return (without action) incomplete requests and requests without required documents.

Tampering with, or attempting to falsify, a government record such as a nurse aide certificate is a third-degree felony punishable by up to 10 years in prison and a $10,000 fine.

Form 5508-NAR

Page 2 / 6-2021-E

Address:

Applicant, did you:

sign the form?

specify why you are requesting a change to your certificate?

include a legible photocopy of your picture identification showing your birth date and the correct spelling of your name?

attach a photocopy of your marriage license, divorce decree or other court order for name change?

attach your certificate?

Did you know?

You can verify certificate status by using the following link: https://emr.dads.state.tx.us/DadsEMRWeb/

You can download forms from our website: https://hhs.texas.gov/doing-business-hhs/licensing-credentialing-regulation/ nurse-aide-registry/nar-forms

Email the completed form and required documents to the Texas Nurse Aide Registry at nurseaideregistry@hhs.texas.gov.

With a few exceptions, you have the right to request and be informed about the information that the Texas Health and Human Services Commission (HHSC) obtains about you. You are entitled to receive and review the information upon request. You also have the right to ask HHSC to correct information that is determined to be incorrect (Government Code, Sections 552.021, 552.023, 559.004). To find out about your information and your right to request correction, please contact the Nurse Aide Registry at 512-438-2050.

Form Characteristics

Fact Name Fact Description
Form Title Form 5508-NAR, Texas Nurse Aide Registry Request for Change/Correction to Nurse Aide Registry Data.
Governing Law The Texas Health and Human Services Commission (HHSC) governs this form under Government Code, Sections 552.021, 552.023, and 559.004.
Submission Method Email the completed form and documents to nurseaideregistry@hhs.texas.gov.
Required ID Attach a legible photocopy of a picture identification showing your birth date and correct spelling of your name.
Document Requirement Other documents may be required based on the type of correction requested.
Possible Requests Corrections include misprints, name changes, or other specified changes.
Signature Requirement The applicant must sign certifying that the information provided is correct.
Consequences of Tampering Tampering with a government record is a third-degree felony, with penalties including up to 10 years in prison and a $10,000 fine.
Certificate Verification Certificate status can be verified online at https://emr.dads.state.tx.us/DadsEMRWeb/.

Guidelines on Utilizing 5508 Nar

Once you have gathered the necessary documents, filling out the 5508-NAR form is straightforward. Ensure you understand the requirements and prepare the requested information to avoid delays in processing. Follow these steps to complete the form accurately.

  1. Obtain a copy of the 5508-NAR form.
  2. Fill out your full name in the format of Last, First, and Middle.
  3. If applicable, include your maiden name.
  4. Provide your Social Security Number.
  5. Select your sex by checking the appropriate box (Male or Female).
  6. Enter your date of birth using the format mm/dd/yyyy.
  7. Input your email address.
  8. Complete your mailing address, including street or P.O. Box, city, state, and ZIP code.
  9. Provide your area code and telephone number.
  10. Indicate the reason for your request by checking all that apply (correction, misprint, name change, or other).
  11. Attach a legible photocopy of a valid picture identification that shows your birth date and correct spelling of your name.
  12. If requesting a name change, include a photocopy of your marriage license, divorce decree, or other court order indicating the name change.
  13. If there was a misprint, attach your certificate.
  14. Review the completed form for accuracy, ensuring you have signed and dated it.
  15. Email the completed form and all required documents to the Texas Nurse Aide Registry at nurseaideregistry@hhs.texas.gov.

What You Should Know About This Form

What is the purpose of the 5508-NAR form?

The 5508-NAR form is specifically designed for individuals who wish to request corrections or changes to their personal information in the Nurse Aide Registry database in Texas. This includes situations like correcting a misprint on a certificate, updating a name due to marriage or divorce, or other adjustments to registry data. It ensures that all the information maintained by the registry is accurate and up-to-date.

What documents are required to accompany the 5508-NAR form?

When submitting the 5508-NAR form, it is essential to include several documents. First, you must attach a legible photocopy of a picture identification that clearly displays your birth date and the correct spelling of your name. If you are requesting a name change, you also need to provide a photocopy of your marriage license, a portion of your divorce decree that shows the name change, or another court order indicating the change. Additionally, if your request pertains to a misprint on your certificate, you should attach the original certificate. Failing to include these documents may result in your request being returned without action.

How do I submit the completed 5508-NAR form?

Once you have filled out the 5508-NAR form and gathered all the necessary documentation, you should email the complete package to the Texas Nurse Aide Registry at nurseaideregistry@hhs.texas.gov. It is crucial to ensure that your submission is comprehensive and includes all required documents to avoid delays in processing.

What happens if my submission is incomplete?

If your submission is found to be incomplete or lacking required documents, the Texas Nurse Aide Registry will return the request without taking any action. It is important to review your submission carefully before sending it to ensure that all elements are included. A list of required documents is provided on the form, so make sure to check off each item to avoid any oversight.

What rights do I have regarding my information in the Nurse Aide Registry?

Common mistakes

Filling out the 5508-NAR form can feel challenging. Many people make common mistakes that can delay their requests. Here are seven frequent errors to avoid.

First, forgetting to sign the form is a common oversight. Without your signature, the request is not valid and will be returned. Ensure you take a moment to add your signature before submitting.

Second, some individuals do not clearly specify why they are requesting a change. The form allows you to check multiple boxes, but it is important to provide enough detail. This helps the Texas Nurse Aide Registry understand your request easily.

Another mistake is failing to include a legible photocopy of a picture ID. Your ID must clearly show your birth date and your name. If the ID is not clear, your request may be delayed or sent back.

Additionally, if you are requesting a name change, attaching the necessary documents is crucial. Many people forget to include a marriage license, divorce decree, or court order showing the name change. Without these documents, your request cannot be processed.

Some applicants also neglect to attach their certificate when there is a misprint. If there's an error on your certificate, it is essential to submit the original certificate with your request. This will ensure a smoother process and help correct the issue.

Another common error involves providing incorrect or incomplete contact information. Double-check your mailing address and phone number to ensure the Texas Nurse Aide Registry can reach you if needed.

Finally, many people overlook the ​importance of reviewing their completed application before sending it. Taking a moment to go through everything can save you from unnecessary hassle. If you can confirm that all required areas are filled, your request has a better chance of being approved quickly.

Documents used along the form

The process of changing or correcting data in the Texas Nurse Aide Registry involves various forms and documents to ensure the accuracy of records. Each document plays a critical role in verifying the applicant’s identity or circumstances surrounding the change. Understanding these documents can facilitate a smoother submission process.

  • Identification Documentation: A photocopy of a government-issued ID is required to confirm the applicant's identity and the correct spelling of their name. This helps prevent fraudulent requests and misidentifications.
  • Nurse Aide Certificate: For those requesting a correction due to a misprint, attaching the original nurse aide certificate is necessary. This serves as proof of the credentials awarded to the applicant.
  • Name Change Documents: Individuals changing their names must provide legal documents, such as a marriage license, divorce decree, or other court order. These documents validate the name change and link it to the applicant's earlier records.
  • Change Request Form: The 5508-NAR itself outlines the specific requests for change and must be completed accurately. It requires details such as the applicant’s name, Social Security number, and the reason for the request.
  • Contact Information: Detailed personal contact information, including an email address and phone number, is mandatory for follow-up communications. This ensures that the Registry can reach the applicant easily if further information is needed.
  • Verification of Status: An applicant may also provide a verification link to their certificate status. This can help establish the legitimacy of their request and facilitate faster processing.
  • Additional Correspondence: If there are unique circumstances not covered by the form’s standard requests, a separate letter explaining these circumstances may be submitted. This provides context that could help the Registry address specific concerns.

Gathering and submitting these documents accurately is essential for effective communication with the Texas Nurse Aide Registry. By ensuring all required forms and attachments are included, applicants can improve the likelihood of achieving a successful outcome in their requests.

Similar forms

  • Form I-20: This form is used by students wishing to study in the U.S. It requests personal information and provides changes related to the student’s status, similar to how the 5508-NAR addresses nurse aides.
  • Form 1040: Main form for individual income tax returns. It asks for correction or changes to personal information, akin to the updates for nurse aide registry data.
  • Form DS-82: This form is for renewing a U.S. passport by mail. It requires identification and personal data, paralleling the identification needs of the 5508-NAR form.
  • Form SS-5: This is the application for a Social Security card. Like the 5508-NAR, it allows for name changes and requires proof of identity.
  • Form N-400: The application for U.S. citizenship. It seeks to update personal information, similar to the change requests in the 5508-NAR.
  • Form 8862: Used to claim the Earned Income Credit after certain disqualifying events. It asks for personal verification details, resembling the verification required in the 5508-NAR.
  • Form G-1145: This form allows applicants to receive updates on their immigration applications via text or email. It requires contact information for follow-up, much like the 5508-NAR.
  • Form 4506: Request for copy of tax return. It involves providing personal details in order to correct or obtain records, which is similar to the correction requests on the 5508-NAR.
  • Form W-4: This form is for letting employers know how much federal income tax to withhold. It includes personal identification and updates, reflecting the nature of the 5508-NAR.
  • Form I-9: This is used for verifying employment eligibility. It asks for identification documents and personal details, similar to the requirements of the 5508-NAR.

Dos and Don'ts

When completing the 5508-NAR form, it is vital to approach the process with care and attention to detail. Below is a list of practices that can help ensure a smooth submission, as well as common pitfalls to avoid.

  • Do ensure all information is accurate: Double-check your name, date of birth, and social security number for accuracy.
  • Do attach required documents: Include a photocopy of your picture identification and any necessary documentation for name changes.
  • Do sign the form: Without a signature, your request may be deemed incomplete and returned.
  • Do read the instructions carefully: Understanding the requirements can prevent mistakes that delay your request.
  • Don't forget to specify your request: Clearly indicate whether you need a correction, a name change, or another modification.
  • Don't neglect to provide all necessary attachments: Incomplete submissions will be returned without action.
  • Don't submit photocopies that are not legible: Ensure your identification and any certificates are easy to read.
  • Don't tamper with any documents: Altering a government document can lead to severe legal consequences.

By adhering to these guidelines, you can facilitate a smoother process and help ensure that the necessary updates to your Nurse Aide Registry data are completed efficiently.

Misconceptions

The following is a list of common misconceptions regarding the 5508-NAR form. Understanding these misconceptions can help ensure that your requests are processed smoothly and accurately.

  • Misconception 1: The 5508-NAR form can be submitted without any supporting documents.
  • This is false. You must attach the required documents, including a legible copy of your identification that shows your birth date and the correct spelling of your name.

  • Misconception 2: I can submit the form by mail.
  • The completed form and documents must be emailed to the Texas Nurse Aide Registry. Mail submissions are not accepted.

  • Misconception 3: It's okay to submit an incomplete form.
  • Incomplete requests will be returned without action. Make sure to fill out all fields and attach all necessary documents.

  • Misconception 4: A simple signature is enough for submission.
  • You must also specify why you are requesting a change on the form. A signature alone is insufficient.

  • Misconception 5: All name changes can be processed without documentation.
  • You'll need to provide supporting documents, such as a marriage license or a portion of a divorce decree indicating the name change.

  • Misconception 6: The Texas Nurse Aide Registry will correct any errors without my request.
  • Errors must be reported by you. The Registry does not take action to correct information unless you specifically request it.

  • Misconception 7: Tampering with a certificate is just a minor issue.
  • In fact, tampering with government records, including nurse aide certificates, is a serious crime that can lead to severe penalties, including prison time.

  • Misconception 8: I cannot verify my certificate status.
  • You can easily verify your certificate status online using the provided link. This can help you ensure that your records are correct.

  • Misconception 9: Once I submit the form, I don't need to follow up.
  • While the Texas Nurse Aide Registry processes requests, it's a good practice to follow up to ensure your submission has been received and is being processed.

Being aware of these misconceptions can help you navigate the process with confidence. Completing and submitting the 5508-NAR form correctly is crucial for efficient handling of your request.

Key takeaways

When filling out the 5508-NAR form to request changes to your Nurse Aide Registry data in Texas, consider the following key points:

  • Ensure that you read all instructions carefully before starting to fill out the form.
  • Attach a clear photocopy of a picture ID that verifies your birth date and name spelling.
  • Include any required documents specific to your request, such as a marriage license or court order for name changes.
  • Make sure to check all applicable boxes indicating the type of change you are requesting.
  • The form must be completed in full to avoid being returned without action by the Texas Nurse Aide Registry.
  • Sign and date the form to certify that the provided information is accurate.
  • Verify your certificate status online to confirm current information prior to submission.
  • Be aware that tampering or falsification of records carries serious legal repercussions, including potential imprisonment and fines.

In summary, careful attention to detail and compliance with submission requirements are essential in ensuring that your request is processed without delay.