Applications/Forms

Some of the following files are in portable document format (PDF) and require the Adobe Acrobat Reader to view and print.. If you do not have a copy of the FREE Acrobat Reader, visit http://www.adobe.com.

Applications

  • NHA - CRCF Dual License
  • NHA-CRCF Provisional-Temporary License
  • Nursing Home Administrator License
  • Nursing Home Administrator Provisional-Temporary License
  • Community Residential Care Administrator Provisional-Temporary License
  • Community Residential Care Administrator License
  • Long-Term Healthcare Checklist
  • Exam Prep Information

    • Continuing Education Applications

  • Administrators Continuing Education Application
  • Sponsor Continuing Education Application
  • Long Term Health Care Administrators Continuing Education List

    • Administrator In Training Forms

  • AIT PRECEPTOR DIRECTORY
  • AIT Candidate Guidelines and Application
  • AIT Preceptor Guidelines and Application
  • AIT Preceptor Facility Application
  • Administrator in Training Preceptor Agreement
  • Administrator in Training Program Proposal
  • Preceptor Letter
  • Final Preceptor Report
  • Administrator in Training Preceptor Renewal Application
  • Administrator in Training Permit Renewal/Update Application

    • Renewal

    Other

    The S.C. Department of Labor, Licensing and Regulation is pleased to provide various publications in portable document format (PDF).
    You will need Adobe Reader to view and print these publications.