CNA Reciprocity: How to Transfer Your CNA License to Another State

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Moving to a new state doesn’t mean starting your CNA career over. Many states allow CNA reciprocity, which lets you transfer an active CNA certificate instead of repeating training from scratch. This guide explains what reciprocity is, who qualifies, and how to transfer your CNA license step by step.

🧭 What Is CNA Reciprocity?

CNA reciprocity (also called “endorsement”) is the process of transferring your Certified Nursing Assistant credential from one state to another. Instead of retaking a full training program, the new state reviews your existing CNA training, exam results, and work history to decide whether to grant you a CNA certificate there.

Each state sets its own rules, but the goal is the same: verify that you meet that state’s minimum standards for CNAs without making you start over.

✅ Who Qualifies for CNA Reciprocity?

While the details vary by state, you’re more likely to qualify for reciprocity if:

• Your CNA license is active and in good standing (not expired, revoked, or suspended).
• You completed a state-approved CNA training program in your original state.
• You passed both the written and skills exams for CNA certification.
• You have no findings of abuse, neglect, or misappropriation on any CNA registry.
• You can pass a criminal background check required by the new state.

If your license is expired or you never passed a state exam, you may need to repeat some or all training in the new state instead of using reciprocity.

🪜 How to Transfer Your CNA License to Another State (Step by Step)

Step 1: Check the New State’s CNA Reciprocity Rules

Start at the website for the state nursing board or health department in the state where you’re moving. Look for pages labeled “CNA,” “nurse aide,” or “nurse aide registry” and confirm:

• Whether they accept reciprocity/endorsement.
• Which states they accept CNA credentials from.
• Any extra requirements such as fingerprinting or additional training hours.

Some states have online applications, while others require you to mail paper forms.

Step 2: Download and Complete the Reciprocity Application

Most states provide a specific CNA reciprocity application. You’ll typically need to provide:

• Your full legal name and contact information.
• Social Security number or individual taxpayer ID (where required).
• Your original CNA license number and issuing state.
• Education details: name of CNA training program and completion date.
• Disclosure of any disciplinary actions or criminal history.

Fill out the form neatly and completely. Incomplete applications are the #1 reason for delays.

Step 3: Request Verification From Your Original CNA Registry

The new state usually needs official proof that:

• Your CNA license is current and active.
• You have no abuse or neglect findings on the registry.

Many states provide a separate “Verification of Nurse Aide Certification” form for your original state to complete. Common options include:

• Online verification: some registries let the new state verify you through an online portal.
• Fax or mail: the original state completes and sends a verification form directly to the new state.

Always follow each state’s instructions exactly—some will not accept copies sent by you.

Step 4: Complete Background Check & Fingerprinting

Most states require a criminal background check for reciprocity. This may include:

• Electronic fingerprinting through an approved vendor.
• Ink fingerprint cards if you’re out of state.
• Paying an additional background check fee.

Timing matters: some boards won’t process your application until your fingerprints are received, so schedule this early.

Step 5: Submit Fees and Required Documents

Expect to pay a reciprocity/endorsement fee, usually between $20 and $75 (varies by state). Your application packet may include:

• Completed reciprocity application.
• Copy of a government-issued photo ID.
• Copy of your current CNA certificate (if available).
• Verification request or confirmation from your original registry.
• Background check confirmation or fingerprint receipt.
• Payment by check, money order, or online payment receipt.

Double-check the mailing address or online upload portal—some states have separate addresses for CNA documents.

Step 6: Wait for Approval and Check Your New Registry Status

Processing times can range from 2–8 weeks, depending on:

• How quickly your original state sends verification.
• Background check turnaround times.
• Seasonal application volume (often higher in summer).

Once approved, your name should appear on the new state’s nurse aide registry. Only then are you officially authorized to work as a CNA in that state.

📁 Common Documents You’ll Need

To avoid delays, gather these items early:

• Current CNA license or registry listing from your original state.
• Government-issued ID (driver’s license, passport, or state ID).
• Social Security card (if required in that state).
• Proof of CNA training completion (certificate or transcript).
• Employment history or verification (some states request recent CNA hours).
• Any court or disciplinary documents if you disclosed past issues.

Want better CNA job opportunities after moving to a new state? If you’re transferring your license, this is the perfect time to update your resume. A strong, modern CNA resume can help you qualify for higher-paying roles, hospital jobs, and even travel CNA positions in your new state.

🧠 States With Extra CNA Reciprocity Requirements

While many states recognize out-of-state CNAs, some can require:

• An additional skills or written exam if your original training hours were lower than their minimum.
• Proof of recent CNA work experience (for example, 8–24 hours in the last 24 months).
• Completion of a short refresher course if your license has been inactive for a period of time.

Always verify the current rules with the new state’s official CNA registry or health department website—requirements change over time.

💰 Fees & Timeline for CNA Reciprocity

Here’s what many CNAs can expect, though exact numbers vary:

Item	Typical Range	Notes
Reciprocity application fee	$20–$75	Paid to the new state’s registry or board.
Fingerprint/background check	$30–$80	Varies by vendor; sometimes paid separately.
Mailing or notary costs	$0–$25	Only if paper forms or notarization are required.
Processing time	2–8 weeks	Depends heavily on verification and background check speed.

🛡️ Tips to Avoid Delays

• Apply early: start the reciprocity process several weeks before you plan to move or start a new job.
• Use the exact name listed on your original CNA certificate to avoid mismatched records.
• Follow both states’ instructions: some require the original state to mail or fax verification directly.
• Keep copies of everything you submit, including payment receipts.
• Check your email and mail regularly for requests for more information.

🧳 After Approval: Starting Work in Your New State

Once your name appears on the new state’s CNA registry:

• Confirm your effective date and any expiration date for renewal.
• Provide your new registry listing or license number to your employer.
• Ask your employer about orientation or facility-specific training requirements.
• Make a note of renewal frequency (many states renew every 2 years and require a minimum number of work hours).

Keep in mind that you may have separate renewal obligations in both your old state and your new state if you plan to work per diem or travel between them.

📌 Helpful Links & Next Steps

Ready to explore more CNA education and career resources?

• Renew Requirements — Home: Licensing, renewal, and career guides for nurses and CNAs.
• CNA Online Courses Guide: Learn how online and hybrid CNA programs work and what to look for.
• CNA Jobs: Where CNAs Can Work: Explore job settings, shift types, and pay considerations.
• CNA Travel Agencies: Learn how travel CNA staffing works and what agencies expect.

❓ CNA Reciprocity FAQ

Can I work as a CNA in my new state while my reciprocity is processing?

Usually no. Most states require you to be listed on their CNA registry before you provide hands-on care. Some employers may hire you as a caregiver or other role while you wait, but you typically cannot work under the CNA title until your transfer is approved.

What if my CNA license is expired—can I still use reciprocity?

Many states require your license to be active for reciprocity. If it is expired, you may need to either renew it in your original state first or complete new training and testing in the state you’re moving to. Always check the new state’s rules for expired CNAs.

Do all states accept CNA reciprocity from every other state?

No. Some states limit reciprocity to certain states with similar training standards, and others may require additional testing or documentation. Always confirm your specific state-to-state combination on the new state’s official registry website.

How long does CNA reciprocity usually take?

Many CNAs receive approval in about 2–6 weeks, but it can take longer if verification from your original state or your background check is delayed. Applying early and submitting complete paperwork helps speed things up.

Do I have to keep my original CNA license active after I transfer?

Not always. Some CNAs choose to maintain active status in multiple states, especially if they travel for work. Others allow the original license to expire once they are settled. Consider your long-term job plans and review each state’s renewal fees and requirements before deciding.