Have you been CONVICTED, at any time, of any crime, other than a minor traffic violation? (You need not disclose any marijuana-related offenses specified in the marijuana reform legislation and codified at the Health and Safety Code, Sections 11361.5 and 11361.7).

We are happy to announce the launch of our new online application system for initial applications, OAS YS. You can apply for a new Certified Nurse Assistant certificate by submitting your application online.

The Nurse Assistant Training Program Skills Check List (CDPH 276A) is a sample which may be copied and used for each student in the NATP. Use of this form will ensure the program meets the requirements for documentation of clinical skills training.

You must submit a completed Initial Application FORM 283B directly to CDPH by mail or Portal to be added to the Nurse Aide Registry. Please do not wait until after you’ve passed your exams to submit these forms for processing.

Submit the 283b form to CDPH prior to the program completion. The test applicant must create a profile to process the candidate's state license. Do NOT wait to create your CDPH Account Profile in OASYS.

CDPH 283 B (08/19) _______________________ Date. This form is available on our website at: www.cdph.ca.gov Page 1 of 2 Email inquiries only: [email protected]. Upon enrollment in a CDPH-approved training program, the applicant must be fingerprinted through the Live Scan process. All convictions are reviewed.

CDPH 283B (07/11) This form is available on our website at: www.cdph.ca.gov. A. CERTIFIED NURSE ASSISTANT (CNA) APPLICANTS. The applicant or training program should submit the following to ATCS upon enrollment and before patient …

The document is an application form for individuals seeking certification as a Certified Nurse Assistant (CNA) in California. It outlines the necessary sections to be completed based on the applicant's situation, including enrollment in a training program, equivalent training, or reciprocity from another state.

If you are taking a CNA course, the California Training ID and end date can be found on your 283B Form c. If you are renewing your license or equivalency, Sponsor ID and approval date can be found on your Approval Letter/932 Form sent by the CA Department of Public Health (CDPH).

a) This completed Initial Application (CDPH 283 B). b) An official, sealed transcript of training (students may substitute the transcript with a sealed letter on official school letterhead, listing equivalent training and the completion of at least the "Fundamentals of Nursing" course).