The applications package for the Nursing Staffing Agencies must include all documents listed in the chart below. The staff reviews each application package and determines an applicant's eligibility for a license.
New NSAs are applicants to become NSAs. They are NSAs not currently in operation and applying for licensure in the District.
Application Package Documents
- NSA Application Form (for Initial License and Renewal) [PDF]
- Disclosure of Ownership Form [PDF]
- Clean Hands Certification [PDF]
Application Information Documents
Contact Phone:
(877) 672-2174
Contact Fax:
(202) 727-8471
Contact TTY:
711
Office Hours:
Monday through Friday 8:15 am – 4:45 pm
Service Location:
Health, Department of
GIS Address:
899 North Capitol Street, NE
City:
Washington
State:
DC
Zip:
20002