NOTE: Please do not use this system for renewing your nurse aide certification in Massachusetts.
For information regarding a renewal - click
here DO NOT COMPLETE THIS FORM if you have ever been listed on the Massachusetts Nurse Aide Registry. Contact the MA Registry at
(617) 753-8144 or click
here to verify your status.
Please read these directions before you complete and submit this form. Your request for reciprocity cannot be processed if it is incomplete, illegible, or includes false statements. Candidates seeking out-of-state nurse aide registry placement must be in good standing on a nurse aide registry in a state that meets the Massachusetts requirements for reciprocity to be eligible for certification in Massachusetts.
[NOTE FOR INDIVIDUALS CERTIFIED IN MARYLAND: Individuals certified in Maryland maintain an active CNA license type - Geriatric Nursing Assistant in order to be eligible for reciprocity into Massachusetts.]
Complete this form, 9110MA. Attach the required identification documents (see below).
Your name will be placed on the registry if you are qualified after the following is successfully completed:
- We verify your certification (in good standing) with the state(s) where you are currently registered.
- The Massachusetts nurse aide registry verifies you are eligible for placement on the registry.
- All other provided and pertinent information is verified as true and correct. Notification of successful submission for MA registry placement will be emailed to the email address in your application.
Your application is not complete until the required information is included, then select “Send Application.”