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Student Confirmation of Certified Nurse Aide Registry Number

Document Number:  DET-19636-E

Description:  This form is to ensure that the student who earned a Certified Nurse Aide (CNA) certification and is listed on the Wisconsin TestMaster Universe registry (also known as Wisconsin Nurse Aide Registry, TM Universe, and TMU) is the same individual to which the provided registration number is assigned..

Content Contact:  Nancy Kargel

Document Attachment: DET-16936-E (Word/25 KB)

Document Attachment: DET-16936-E (PDF/95 KB)

Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.