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Forms & Applications

If you wish to obtain the complete licensure application packet, please print out “Application Letter”, “Application for Licensure”, “Accommodation Request Form”, “Character Reference Form”, “Endorsement from Employer Form”, “Commitment to Fulfill Experience Requirement Form”, “Reciprocity Questionnaire”, “Classroom Training and Test Dates”, “Qualifications for Licensure”, “Rules and Regs”, "Applicant Disclosure/Release Authorization for Background Investigation" and “Fee Schedule”.

 

Annual Licensee Survey

Application Letter

Application for Licensure

Applicant Disclosure/Release Authorization for Background Investigation
(MUST be returned with all application paperwork to BOEALA)

Accommodation Request Form

A.L.A. Renewal Application Form

Board Approved Internship

Notification of Change in Personal Information

Character Reference Form

Commitment to Fulfill Experience Requirement Form

Complaint Form & Policy

Emergency Permit Application

Endorsement from Employer Form

Inactive Status Request Form

A.L.A. Renewal for NHA

NHA Application for A.L.A. License

Application for Reactivation of Alabama License

Reciprocity Questionnaire

Replacement License Form

CEU Request Form

Guidelines for Review of Continuing Education Program


 

Contact us:  Amy Findley, Executive Director, Board of Examiners of Assisted Living Administrators 

5921 Carmichael Road, Montgomery, AL 36117
Telephone:  334-271-2418   Fax:  334-271-2420    E-mail: amy.findley@boeala.alabama.gov


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