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How to apply for a nurse registry license

2.1 What laws and rules should I be familiar with in order to open and operate a nurse registry?

New applicants should read the following found on or linked to the AHCA website under Nurse Registry:

Part II of Chapter 408 is the referred to as the Health Care Licensing Procedures Act and applies to all programs licensed by the Agency for Health Care Administration.

2.2 How much does it cost and how long is the license issued for?

The application fee is $2,000. Licenses are issued for two (2) years.  The licensure fee is non-refundable.

2.3 How long does it take to receive my license after submitting my application to the Home Care Unit?

a) The entire application and initial survey process may take from 3 to 4 months, at a minimum. Field offices must conduct an initial licensure survey once the application has been found to be complete by the Home Care Unit in Tallahassee.
b) Your initial application will be reviewed within thirty days of receipt. If there are omissions, a letter will be sent to you. You will have one opportunity to respond to the items in the omission letter within 21 days of receipt of the omission letter. The responses are sent to the Specialist who signed the omission letter at the Home Care Unit.
c) An applicant is prohibited from operating as a nurse registry until such time as the license has been issued in accordance with state law. Within 60 days after the receipt of a complete application, which includes having passed a survey,the agency shall approve or deny the application.

2.4 What paperwork must be provided to the Home Care Unit to obtain the license?

The following forms are used for initial, renewal and change of ownership(CHOW) licensure:

  1. AHCA Form 3110-7004 Nurse Registry Application
  2. AHCA Form 3110-7004A Financial Schedules (Initials and CHOW’s only)
  3. Health Care Licensing Application Addendum,
  4. Affidavit of Compliance with Background Screening - AHCA Form 3100-0008, September 2013 if proof of level 2 screening was done by another authorized agency such as Agency for Persons with Disabilities, Department of Children and Families, Department of Elder Affairs, Department of Financial Services and Department of Health.
  5. Results from a Level 2 screening for both the Administrator and Financial Officer

If the administrator or financial officer has not had a background screen conducted within 5 years prior to the application for licensure see question # 18 for how to obtain a level 2 background screening.

All of the information is sent to the Agency for Health Care Administration, Home Care Unit, Mail Stop # 34, 2727 Mahan Drive, Tallahassee, Fl. 32308.

2.5 Can I operate from my home?

A nurse registry is not a home-based business due to the traffic with contract personnel coming in and out of the office and the unannounced inspections by AHCA. However, if you have a copy of evidence of compliance with the local zoning authorities to operate this kind of business from your home, you are not prohibited from doing so. The Agency would also want evidence that your homeowner association does not prohibit businesses run out of the home. In addition to zoning, you must have a fire inspection for your office site. Please note that your office location can be inspected at any time during the work day by the AHCA field office surveyors as permitted by state law and your office address will appear at the AHCA web site, once licensed.

2.6 How much money is required to be in a financial institution that will establish proof of financial ability to operate for the applicant?

There is no set amount specified. It will depend upon your business plan. The applicant must have assets in the company name and provide evidence that all required application items have been budgeted such as the required personnel and start up costs. You must follow the instructions with the financial schedules in the application and complete all financial schedules, providing current evidence of sufficient assets, credit and projected revenues to cover liabilities and expenses for the first year of operation and a balance sheet.

2.7 Where can I obtain an application packet?

The application, laws, and rules, and surveyor guidelines can all be downloaded from our web site at  and click on “Nurse Registries.” To download the application, click on the forms listed under “Licensure Application and Related Forms.

2.8 Where can I obtain assistance in completing the application?

If after reviewing the application forms and statutory and rule requirements on our web site you have additional questions, please call (850) 412-4403. Staff will be happy to answer questions that clarify the requirements as they apply to your specific situation, but cannot walk you through the application. Filling out the application is part of your responsibility as an applicant. The Agency's role in this process is to evaluate your application and, if there are elements missing from your application once submitted, provide you with an omissions response that gives you another opportunity to complete the application successfully. If you need extensive assistance in filling out your application, we would advise you to retain an attorney or a government relations consultant to assist you.