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RECIPROCITY FORM Application

Please read these directions before you complete and submit this form. Your request for reciprocity cannot be processed if it is incomplete, illegible, or includes false statements.

You are eligible for Reciprocity into New Mexico if you meet the following qualifications: 
  • You must be current and in good standing on a nurse aide registry in a state other than New Mexico to be considered.
  • ALABAMA, ILLINOIS, AND NEBRASKA APPLICANTS: If you originally trained in these three (3) states within the last 24 months, you must also include employment verification that you worked as a nurse aide under the direction of an RN/LPN during the previous two years for that state.
Complete this form. Attach the required identification documents.  Please note: Completing this form requires the following attachments:

Helpful tips: 
All documents must be VALID, current not expired, clear, fully intact, and legible. Nothing should be blurry, smudged, washed out, rubbed off, or difficult to read. All security features in each document must be fully present. Every document must be included in its entirety, with all four corners visible within the attachment. Please do not send HEIC files from apple phones. Please send PNG, JPEG, JPG, and or PDF files only. The files need to be copies/photos of the originals. Please only send photos file upright and not sideways or upside down for expedited processing. 
  1. Image of your valid US government-issued photo identification with your date of birth (state driver’s license, passport, or other signed current photo identification).
  2. Image of your social security card. (You may use a letter from the Social Security Administration that notes both your name and SSN as a substitute for your SSN Card.)
  3. For Alabama, Illinois, and Nebraska applicants, provide an image of your employment verification showing that you worked as a nurse aide under the direction of an RN/LPN during the previous two years we need to see at least eight (8) hours.
You must have a valid email address to receive your TMU© login username and temporary password. You may check your listing on the New Mexico Nurse Aide Registry at nm.tmutest.com. Any personal information entered into TMU© will only be used to determine whether you can work as a nurse aide in New Mexico. Failure to provide complete and accurate information during the reciprocity determination process may delay or even prevent you from being listed on the NMNAR. 

Your application is not complete until the required information is included, then select 'Send Application'.
Address
Reciprocity Information
IDENTIFICATION DOCUMENTS
EMPLOYER VERIFICATION
Affidavit
  • I have uploaded my current US government-issued, signed photo ID that includes my date of birth.
  • I have uploaded my social security card or letter from the Social Security Administration noting my name and SSN.
  • If I am an Alabama, Illinois, or Nebraska, Reciprocity applicant, I have uploaded employment verification of at least eight (8) hours on a paystub or W2 dated withing the last 24 months from the state I have my initial license in.
  • I understand that if I submit multiple applications, it will bump my place in line with each new submittal. 
I agree that if all the requested documentation is not submitted with this application, and I do not reply to any of *emailed requests within one (1) month of submitting my application, my application will be denied, and I will need to resubmit a new application.
  • *NOTE: If you have an iCloud email, you may not receive our communications, and you may need to call to check your status.
I understand that my application will be denied if:
  • Is unable to verify my registry status on another state's nurse aide registry.
  • If I have listed an offense on my application.
  • If I submit incorect or illedgible documents. 
  • If I submit my name incorrectly or if my name doesn't match exactly everywhere. 
By Submitting
I hereby verify that I understand and agree with the statements contained herein and the above information is true and correct.
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