TX HHS Form 5510-NATCEP. Request to Take the Competency Evaluation Program (CEP) Based on Approved Nurse Aide Training Out of State

The TX HHS Form 5510-NATCEP, "Request to Take the Competency Evaluation Program (CEP) Based on Approved Nurse Aide Training Out of State," is a crucial document for nurse aides who have completed training in another state within the past 24 months but have not taken the competency evaluation or been placed on a Nurse Aide Registry. This form helps individuals request approval to take the CEP in Texas, ensuring they can demonstrate their competence and become eligible for employment as a nurse aide.

This form is designed for nurse aides who meet specific requirements, including having successfully completed at least 100 hours of training at a NATCEP in another state within the preceding 24 months. Additionally, applicants must have not taken the competency evaluation or been placed on a Nurse Aide Registry in another state. The form also requires individuals to request a criminal history check from the Texas Department of Public Safety (DPS) and submit their results along with the application.

The key features of this form include required information such as name, social security number, date of birth, email address, and contact phone numbers. Important sections include Item I, which outlines the eligibility criteria for taking the CEP, and Item IV, which requires proof of successful completion of a Nurse Aide Training Program approved in another state. The form also highlights common scenarios of use, such as individuals who have completed training out of state but need to take the competency evaluation to become eligible for employment in Texas.