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]