Self-Serve Nurse Aide Program - Document Upload
Instructions


Please enter and validate information listed below to upload additional documentation to your submission form.
Submission ID :
Submission Date :
Verify Email :
 Attestation
I attest that I am the person identified above and I do hereby attest that this information is true, accurate and complete to the best of my knowledge. I understand that any falsification, omission, or concealment of material fact may jeopardize active status on the Georgia Nurse Aide Registry.

This link is no longer valid. Please visit Nurse Aide Program Self-Service Portal to submit new form with required documentation.
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