Online Renewals & Forms

You can now conveniently renew your license online. Click the links below for online renewals and related forms.

Assisted Living Administrator License Renewal

Replacement License Form

NHA Initial Application for ALA License

NHA Renewal for ALA License

Initial License for ALA License

Emergency Permit

If any administrator meets the continuing education requirement but does not submit his/her NOTARIZED renewal application, renewal fee, a copy of the facility’s state license where you are employed, prior to the expiration date of the current license, a late renewal fee of $275.00 must be paid. IF you renew online, you MUST mail page 2 of the renewal application on or before your expiration date.

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