Now Live: Easier Online License Applications and Renewals!
LicensE, our new, online, self-guided occupational license application platform is now live! The list of licenses available via LicensE plus user guides and other resources are available on the LicensE Customer Information page. Anyone applying for an initial license for any of the credentials listed can apply at license.wi.gov.
LicensE is also available for some license renewals. The list of license renewals available via LicensE is in the chart on the LicensE Customer Information page.
We are introducing a new LicensE Application Status Lookup tool. This tool will make it easier for employers to track the application status of current and future employees, and it will help academic advisors support students during the license application process. To access the Application Status Lookup tool, individuals will need an applicant's 10-digit PAR number. An applicant may provide the number to anyone who could support their application. For more information, see our press release.
License Information
Fee Reduction
Pursuant to 2017 Wisconsin Act 319, beginning August 1, 2018, an applicant for an initial credential may apply for a reduction of the initial credential fee that is equal to 10% of the initial fee. Qualification is based on the federal adjusted gross income being at or below 180% of the federal poverty guideline prescribed for the applicant's family household size by the United States Department of Health and Human Services. To determine eligibility please visit the United States Department of Health and Human Services website at https://aspe.hhs.gov/poverty-guidelines, prior to submitting Form 3217.
Per
Wis. Stat. § 440.08 (2), the required renewal date for the Nursing Home Administrator credential is 06/30/even years. Should you receive your initial credential in the months leading up to this date, you are still required to renew your license by the statutorily defined date.
Pre-Credential Education Information
Applicants must complete a regular course of study, a program of study, or complete specialized courses which the Nursing Home Administrator Examining Board considers adequate academic preparation for nursing home administration.
Current NHA Approved Course List.pdf
Application for Licensure
| Form | Description |
|---|
|
1573 | Information for Examination
|
|
418 | Information for Nursing Home Administrator License |
| 3217 | Application for Fee Reduction (If applying for a fee reduction, this form must accompany the application for the credential.) |
|
71 | Verification of Experience in the Field of Institutional Administration (if applicable) |
|
2470 | Reciprocity Experience Record (Reciprocal Applicants Only)
|
|
419 | Verification of Licensure (Reciprocal Applicants Only) |
|
3085 | Application for Predetermination (Optional-Submit ONLY if you have been convicted of any felony, misdemeanor, or other violations of federal or state law in this state or any other and you desire a review of your conviction record before applying for a credential.)
|
|
2252 | Convictions and Pending Charges (if applicable)
|