HFA & RCA Applications Instructions & Supporting Documentation
Health Facility Administrator
Residential Care Administrator
- Verification of State Licensure Form - May be submitted to states that you hold or have held any health profession license so that they can verify that license to Indiana. You may want to contact the state(s) prior to sending this; they may not need this form.
- Verification of Administrator-in-Training Program for Health Facility Administrator Licensure Form - Use if you have completed an administrator-in-training program for licensure in another state.
- Verification of Employment of Applicants for Health Facility Administrator Licensure Form - Only use this form to verify active work experience as a licensed HFA in another state.
- Repeat Exam Application Instructions