HSE Shared Executive Application (PDF Fillable)
Minnesota HSE Non-Renewal Form
Mentor Evaluation of ALDIR/ALD Mentee
Mentorship Interest Form
Shared Director Agreement
NHA Licensee Shared Administrator Application
HSE & NHA CE Attestation and Record Sheet (PDF fillable)
LNHA Employment Interest Registry
NHA New Licensee Survey
Continuing Education Approval Application
Continuing Education Provider Mailing Label Request Form
Request for Continuing Education Provider Mailing List
Name Change/Correction Form
Lost License and Replacement License
Online Portal Technical Support Request
Request to Add or Update a Facility
