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Background Screening and Exemption Application

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Background screening for employment purposes may be required for the Registered Nurse (RN), License Practical Nurse (LPN) or Certified Nursing Assistant (CNA) depending on place of employment. It is the responsibility of the employer to meet this requirement. When this screening is required, it is pursuant to Florida Statute 435. This Chapter outlines certain offenses which will disqualify the RN, LPN or CNA from employment unless an exemption is granted.

Exemption

The RN LPN or CNA may apply for an exemption hearing/review. This is a request for the Department of Health to review the applicant's total background to determine if an exemption can be granted. The RN, LPN or CNA must provide information about his criminal history, employment history, rehabilitation, reference letters, probation notices, and whatever else may be pertinent.

Exemption Package

NOTE: The exemption package is in PDF format and requires Adobe Reader, which is available Free at:  Adobe PDF Reader.

For your convenience, an Exemption Package(pdf - 138kb) is available for download from this site. It is an ten page package that includes the following information:

  • Brief, typed self explanation

  • Request for Exemption Application

  • Request for Exemption Checklist

  • Request for Criminal History Check (FDLE report) (this allows you to request your own background record)

  • Level 1 and Level 2 screening standards (list of disqualifying offenses)

Applicant Information