California CNA Reciprocity: How to Transfer Your Out-of-State CNA License to California (2025 Guide)

Are you an out-of-state CNA looking to start working in California? Through a process called CNA reciprocity (also called CNA license endorsement), you can transfer your CNA certificate to California without having to retake the CNA exam or complete new training. This 2025 guide walks you through every step—including how to complete form CDPH 283B, get fingerprinted, and join the California Nurse Aide Registry.

Why transfer to California?

California has one of the highest demands (and often, higher pay) for CNAs in the country. Whether you’re moving for personal reasons or career opportunities, this guide will help you navigate the paperwork and requirements so you can join the California Nurse Aide Registry as smoothly as possible. Let’s get started!

What is CNA Reciprocity in California?

CNA reciprocity—also known as CNA license endorsement in California—lets certified nursing assistants from other U.S. states transfer their CNA license without repeating CNA training or exams and be listed on the California Nurse Aide Registry. This process is governed by the California Department of Public Health (CDPH), specifically the Aide and Technician Certification Section (ATCS) and requires completing forms like CDPH 283B and CDPH 931, fingerprinting, and meeting eligibility rules.

Important: Reciprocity is only for CNAs who are already certified in another state. If you’re new to the field (not certified anywhere yet), you’ll need to complete a California-approved CNA training program and pass the exam instead. But if you hold a current CNA license elsewhere, California welcomes you—provided you complete the steps we outline below.

California CNA Reciprocity Eligibility Requirements

Before diving into the paperwork, make sure you meet California’s eligibility requirements for out-of-state CNAs. Here’s what you need to qualify:

If you tick all the boxes above, you’re ready to apply for reciprocity in California! Now, let’s go through the process step by step.

How to Apply for California CNA License Transfer: Step-by-Step with Forms CDPH 283B & 931

Transferring your CNA license to California involves several documents and steps, but don’t worry – we’ll break it down. Here’s an overview of the California CNA reciprocity application process:

  1. Complete the CNA Reciprocity Application Form (CDPH 283B)

    California uses an “Initial Application” form for CNA certification, which is also used for reciprocity (and equivalency). This form is officially called the Certified Nurse Assistant Equivalency/Reciprocity Application. You’ll need to:

    • Download the CDPH 283B form: You can get it from the CDPH website (look for CDPH 283B or CDPH 283E (PDF), which contains the form and instructions). Print it out so you can fill it in pen, or fill it electronically if it’s a fillable PDF.
    • Fill out Sections I, II, III, V, and VI: These sections cover your personal info and the reciprocity details.
      • In Section I, check the box for “Reciprocity (from another state)” – this tells CDPH you are an out-of-state CNA applicant.
      • Section II is your identification info: name, address (a public address that will be on record – you can use your current mailing address), date of birth, SSN/ITIN, and contact info. Double-check spelling and numbers here, as any mismatch (especially in your name or SSN) could cause delays.
      • Section III asks about convictions and any disciplinary actions on your license. Answer truthfully. Mark “Yes” or “No” for the conviction question. If yes, you’ll need to provide details (they instruct that minor traffic violations can be excluded, and you don’t have to list certain expunged marijuana offenses). Also disclose if any healthcare licensing authority has taken action against your certificate before. Honesty is important – having a past issue doesn’t automatically disqualify you, but failing to report it might.
      • Section V is specific to reciprocity applicants. Here, you’ll fill in your out-of-state CNA certificate information: the state you’re coming from, your certificate number in that state, the issue and expiration dates, and your last employer name/address and last date worked (if applicable). This gives CDPH a snapshot of your current certification and work status.
      • Section VI is just your signature and date, certifying that everything is true and correct. Don’t forget to sign! Unsigned applications will be returned. If filling by computer, you might print and sign by hand unless they accept digital signatures (check the form instructions).
    • Double-check the form: Ensure all required fields are completed. For anything that doesn’t apply, you can write “N/A” (for example, if you have no prior convictions, you might mark “No” and not fill the lines that follow). Incomplete forms can delay processing.

  2. Complete the Verification of Current Nurse Assistant Certification (CDPH 931) form

    California uses form CDPH 931 to verify your certification status from your original state. This form has two parts: Part I for the applicant (you) to fill, and Part II for the nurse aide registry of your current state to fill out and send to California. Here’s how to handle it:

    • Download CDPH 931: It’s available on the CDPH website. It might be included in the same PDF as the 283B, or separately as “Verification of Current Nurse Assistant Certification.” Print it out.
    • Fill out Part I (Applicant Section): This section will ask for your name, contact info, and details about your current CNA certificate (state, certificate number, etc.), similar to what you put on the main application. Fill this out completely and sign where indicated.
    • Send Part II to your State’s CNA Registry: Part II must be completed by an official at the agency that manages the CNA registry in the state where you are currently certified. Usually, this means you need to mail or fax the form to that state’s nurse aide program and request that they verify your status. Some states charge a small processing fee or have an online verification system. Check your state’s registry website for instructions on out-of-state verification requests. Attach any required cover letter or ID that your state needs.

    • Tip: If your state has an online verification database that anyone can search, CDPH may accept that in lieu of the form. In fact, California’s FAQ says if your certificate can be verified online, the CDPH 931 form isn’t required unless CDPH specifically asks for it. However, to be safe, many applicants still submit the form. You can also print out the verification result from your state’s public registry as supplemental proof.

    • Have the completed 931 sent to CDPH: The endorsing state (your state) will either send the completed verification directly to California’s CDPH or return it to you in a sealed envelope. Follow their instructions. If they send it directly, they should use the CDPH address on the form (we list the address below in Step 5). If they give it back to you sealed, include that unopened envelope when you mail your application packet.

    • Alternative if online verification is available: Make a note in your application packet that your state (e.g., Texas or Florida etc.) has an online registry and that your status can be checked online at their site. Include your name and certificate number for reference. This isn’t required, but some applicants do it to expedite the process. CDPH can quickly look you up online without waiting for the 931 form. (Again, if in doubt, do the form anyway – it can only help.)

  3. Gather Your Supporting Documents

    Along with the forms above, California requires copies of certain documents to prove your eligibility. Prepare the following:

    • A Copy of Your Out-of-State CNA Certificate: Make a photocopy of your current CNA certificate/card from your state. If your state doesn’t issue paper certificates (some just have online listings), you can print the online verification showing you are active. The goal is to give CDPH evidence that you are indeed certified elsewhere. Highlight your name, certification number, and expiration date if needed. This fulfills the requirement of providing “a copy of the state-issued certificate.”
    • Proof of Work (if needed): If you became a CNA more than 2 years ago, include proof that you have worked as a CNA within the last two years. Acceptable proof can be:
      • A copy of a pay stub from your CNA job, OR
      • A W-2 form from an employer showing your employment as a CNA, OR
      • A letter from your employer on facility letterhead stating your job title and the dates you worked.
      California just needs one form of proof that you performed nursing duties for pay in a licensed facility (such as a nursing home, hospital, etc.). Remember, work through staffing agencies or private home care usually does not count for reciprocity. The state wants to see facility-based work under RN/LVN supervision. If you did work via an agency, you could ask the facility you were placed at to write a letter confirming you actually worked there as a CNA under their supervision. If you are a recent graduate (initial certification within last 2 years), California waives the work experience requirement – in that case, you can skip this proof, but it doesn’t hurt to include a note that you got certified on X date and thus have no 2-year work requirement.
    • Photo ID (recommended): The CDPH application doesn’t explicitly ask for a copy of your ID, but including a photocopy of your government-issued photo ID (driver’s license or passport) can be helpful to verify your identity and match your name. This isn’t listed as mandatory, but some applicants include it. Ensure the name matches your CNA certificate name. (If you’ve had a name change, include documentation like a marriage certificate or legal name change order to connect the dots.)

    At this point, your CNA application packet should include: the completed form CDPH 283B, a partially completed form CDPH 931, a copy of your out-of-state CNA license or certificate, proof of CNA employment (if required), and a government-issued photo ID. These documents are essential for verifying your eligibility with the CDPH and listing you on the California Nurse Aide Registry.

  4. Submit Your Fingerprints for a Background Check

    California requires CNA applicants to undergo a criminal background check via fingerprints. There are two ways to do this:

    Live Scan (Electronic Fingerprinting)

    If you are in California (or plan to be there soon), this is the fastest method. Live Scan is an electronic fingerprinting service that directly sends your prints to the California Department of Justice (DOJ) and FBI.

    • Download the CDPH-specific Live Scan form, officially called “Request for Live Scan Service” (form BCIA 8016) for CNA/HHA. CDPH should have a link or a sample on their site. Fill out the required sections (there’s a part with CDPH’s ORI code, etc., which should already be on the form if you get it from CDPH).
    • Go to a Live Scan agency or provider in California. These include many local police/sheriff’s departments or private authorized vendors. You must do it in California – out-of-state Live Scan isn’t an option for CA’s system. No appointment is needed at some places, but it’s wise to call ahead.
    • Bring an ID (usually your driver’s license or passport) and the form. You will pay a fee on the spot: typically the DOJ processing fee ($32) plus an FBI fee (~$17) and a rolling service fee. Costs vary, but often total around $50-$75. The CNA Guide noted it can amount up to ~$72, which aligns with these fees.
    • The technician will scan your fingerprints digitally. When done, you’ll get a copy of the Live Scan form with a section filled by the operator (including the ATI number, which is a tracking number for your prints). Make a copy of this completed form for your records and for CDPH. Actually, CDPH requires you to submit a copy of the Live Scan form with your CNA application as proof you did it. So, include one copy in your packet and keep one for yourself.

    Why Live Scan? Live Scan results are sent electronically, typically reaching CDPH faster than mailed fingerprint cards. This avoids mailing delays and issues like ink smudging. If you can manage to do Live Scan in California, it’s recommended. You do not need to be a California resident to use Live Scan in CA – if you happen to visit California even briefly, you can complete this step.

    Fingerprint Cards (Ink Cards FD-258)

    If you are not in California and cannot do Live Scan, you’ll use the manual method.

    • Obtain two (2) official FBI FD-258 fingerprint cards. These are the cardstock forms where your fingerprints will be ink-rolled. You can usually get blank FD-258 cards from local law enforcement or request them by mail. Some printing services or notary offices also carry them. (Ensure they are standard FBI cards; the CDPH will need two separate cards in case one is unreadable.)
    • Go to a local police department, sheriff’s office, or fingerprinting service that does ink fingerprints. Bring a government ID.
    • Have a technician roll your fingerprints onto the two cards. They must be clear and properly done – smudged prints may be rejected, so it’s worth going to an experienced technician.
    • Fill out the personal information on the cards (or the technician will). Make sure the cards include the necessary codes for California processing. CDPH’s instructions or your card should have an ORI (Originating Agency Identifier) for CA Dept. of Public Health. If not, check CDPH’s site for how to annotate the card for CNA application. Some applicants write “CDPH Nurse Aide Registry” in the Employer and Address field with the PO Box address.
    • Prepare a check or money order for $32 payable to “California Department of Justice.” This is the fee to process fingerprint cards. (Unlike Live Scan, where you pay on the spot, with cards you pay via this check to DOJ.)
    • Do not fold the fingerprint cards. When you include them in your application packet, keep them flat (e.g., in a large envelope). Folding can mess up the codes or the prints.

    Using fingerprint cards will take longer, as they have to be mailed to California and then processed. But it’s the only option if you cannot physically do a Live Scan in CA. Be sure to send two cards – CDPH requires two in case one is illegible or gets damaged.

  5. Mail Your Complete Application Packet to CDPH

    Now it’s time to put it all together and send it off! Here’s what your application packet should contain:

    • Completed CDPH 283B application (the Initial Application form you filled out).
    • Copy of your completed Live Scan form (if you did Live Scan) OR your two FD-258 fingerprint cards and the $32 DOJ fee check (if you did ink cards).
    • Copy of your out-of-state CNA certificate (or printout of verification).
    • Proof of work (pay stub, W-2, or employer letter), if required for you.
    • CDPH 931 verification form – if your state returned it to you, include the sealed envelope. If your state is sending directly or using online verification, you can include a note about that (or even a printout of an email confirmation or online lookup as a courtesy).
    • (Optional but recommended:) A short cover letter listing everything you’re including and stating you are applying for CNA certification in CA by reciprocity. Include your contact info in the letter. This helps the CDPH clerk quickly see what’s enclosed.

    Double-check that you’ve signed all forms and that copies are clear. It’s wise to keep a complete copy of everything for your records before you mail it.

    Where to mail: As of 2025, applications must be mailed (CDPH is not accepting fax or email submissions for reciprocity). The mailing address (also listed on the forms) is:

    California Department of Public Health (CDPH)
    Attn: Healthcare Workforce Branch (HWB) – CNA Reciprocity
    MS 3301, P.O. Box 997416
    Sacramento, CA 95899-7416

    This is a PO Box, so use USPS (regular mail or Priority). If you want delivery confirmation, use USPS certified mail or Priority with tracking. Private couriers (UPS/FedEx) often cannot deliver to PO Boxes. If you need to use one, contact CDPH for a physical address, but generally USPS is recommended.

    Note: Faxed applications are no longer accepted (since March 2023, per CDPH policy), and there is currently no online portal for CNA reciprocity applications (online submission exists for some initial CNA applications, but not for reciprocity as of May 2025). Therefore, mailing your packet is the way to go.

    Send your packet and keep the tracking number or postal receipt. Allow up to 15 days for CDPH to log your mailed application, especially if using regular mail.

After Mailing: What to Expect Next

Congrats, the hard part (getting everything together) is done! Here’s what happens after you submit your reciprocity application:

Processing Time:

The CDPH will process your application in the order it was received. Officially, they state processing can take up to 30 days for electronic submissions and 45 days for mailed submissions. Since reciprocity must be mailed, plan on potentially 4–6 weeks from the time you sent it. However, it often goes faster if all your documentation is in order. According to CDPH’s weekly updates, as of mid-May 2025 they were processing CNA reciprocity applications received about 1 week prior. So, some applicants see results in 2-3 weeks. Your timeline may vary, so it’s safest not to rely on a very quick turnaround.

Background Check Results:

If you did Live Scan, your DOJ/FBI background check results usually get transmitted to CDPH within 1-2 weeks. With fingerprint cards, it might take a bit longer (they have to be scanned by DOJ). If there’s any issue – for example, if your fingerprints were smudged and rejected – CDPH will notify you to re-do them. (That’s one reason they ask for two cards up front, to avoid this situation.) Assuming no issues, CDPH will get a “cleared” or “not cleared” report. If you have no convictions of concern, you’ll be fine. If something does show up, CDPH might send you a letter requesting more information or denying the application depending on the offense. Minor issues might just require documentation. Keep an eye on any mail or emails from CDPH while you wait.

Verification from Your State:

If your former state sent the CDPH 931 form directly, CDPH will match it with your file. If a few weeks have passed and you suspect CDPH hasn’t received verification, you might reach out to your old state’s registry to check the status. Some states are slow to respond. California might provisionally approve you if they can verify you online and everything else checks out, but they typically do want that official verification eventually.

Checking Your Application Status:

CDPH does not have an online status check specific to your application. They explicitly say they cannot provide status updates if it’s within the normal processing time frame. However, one way to see if you’ve been approved is to search the California Nurse Aide Registry for your name. California’s registry is accessible via Credentia’s system or CDPH’s verification page (if available – sometimes employers have access). A simple strategy: about 3-4 weeks after submission, try to look yourself up as a California CNA. If you appear, congratulations, you’re approved! If not yet, it’s still within normal waiting period. You can also call CDPH’s CNA program phone line (916-327-2445) if more than, say, 6 weeks have passed with no word – they may then give you an update. But try to be patient for at least a month before calling.

Receiving Your Certificate:

CDPH mails your California CNA certificate once you’re approved (a small paper certificate) or notification. The initial California CNA certification is valid for two birthdays (not two full years; it expires on your second birthday after issue) – we’ll cover renewal briefly below. Make sure CDPH has your correct mailing address (they’ll use whatever you put on the application). If you move or if you applied with an out-of-state address, you might consider updating them when you arrive in California. You don’t want your cert to get lost in the mail.

Listed on the Registry:

Your name will be added to the CA Nurse Aide Registry. California employers will check this to ensure you’re certified. You can start working as soon as you appear on the registry as active. Some employers may hire you as an “NA applicant” or caregiver while waiting, but legally to work as a CNA (unsupervised with full duties) you need to be on the registry. It’s a great feeling to see your name on that list – it means you’re officially a California CNA!

Tips for a Smooth Reciprocity Process

Transferring your CNA certification can seem daunting, but these tips can help everything go off without a hitch:

7. Frequently Asked Questions (FAQs) for California CNA Reciprocity

Do I need to retake the CNA exam to transfer my out-of-state CNA license to California?

No — if your out-of-state CNA certification is active and in good standing, you don’t have to retake the CNA exam. California accepts CNA license transfers through its reciprocity (endorsement) process. You just need to complete the required forms and background checks.

How long does CNA reciprocity take in California?

Processing typically ranges from 3–6 weeks after CDPH receives your complete packet (paper applications are officially allowed up to 45 days). Holidays, incomplete forms, slow Live Scan results or delayed verification from your home state can extend the timeline. In mid-May 2025, CDPH was turning around early-May applications in about 1–2 weeks, but it’s wise to plan for the full 45 days plus mailing time.

How much does it cost to transfer my CNA to California?

There is no CDPH application fee. Your out-of-pocket expenses include Live Scan fingerprinting (about $50–75), or fingerprint card processing to DOJ ($32), plus any home-state verification fees ($20–30 in some states), mailing, copying and printing. Budget roughly $30–75 (plus any state-specific fees) for the entire process.

My out-of-state CNA certificate is expired. Can I still apply for reciprocity?

No — California requires an active out-of-state CNA certificate. You’ll need to renew or reinstate your credential in your former state before applying. If renewal isn’t possible, you must complete California’s CNA training and exam as a new applicant. In some cases where your certificate is active but you lack recent work hours, you may be directed to take the competency exam instead.

Does California have reciprocity with every state?

Yes. Any CNA listed as active on a U.S. state registry who meets CDPH’s criteria can apply—California does not maintain an exclusion list. Rare exceptions only arise if a state’s training program failed to meet federal OBRA standards (75+ hours), which is uncommon. CNAs from U.S. territories or internationally educated applicants follow a separate equivalency pathway.

Can I work as a CNA in California while my application is processing?

Not in an unsupervised CNA role. You must be on the California Nurse Aide Registry to practice independently. Some employers may hire you in trainee or non-certified support roles, but you cannot count as a CNA for staffing until you receive your CA registry number.

What about renewal and CEUs? Will I have to catch up on California’s requirements?

Once certified in California, you enter the CA renewal cycle: renew every two years on your birthday year, complete 48 hours of in-service training/CEUs and at least one paid workday as a CNA. Your out-of-state renewal history doesn’t carry over—you start fresh under California’s schedule.

Conclusion: You’re Ready to Launch Your CNA Career in California!

Transferring your CNA license to California may involve paperwork and a bit of patience, but it opens the door to exciting opportunities on the West Coast. By completing the process, you’re ready to join California’s healthcare workforce—no retraining required. Remember, every form and requirement is there to ensure patients receive care from qualified professionals – and you’ve already proven yourself by becoming certified in another state.

As you await your California certification, take some time to explore the landscape: update your resume, look up local healthcare facilities, maybe even connect with recruiters. California’s healthcare industry is vast – from world-renowned hospitals to numerous long-term care facilities – and many are actively hiring. Once you’re on the California CNA registry, you’re ready to work — whether at a beachside retirement home or a major hospital.

Ready for the next steps in your CNA journey? Here are some ways we can help you beyond reciprocity:

We hope this guide has made the CNA reciprocity process clear and achievable. California is excited to have you join its healthcare workforce! With your dedication and experience, you’re on track to continue making a positive impact on patients’ lives, now in a new environment. If you found this guide helpful, feel free to share it with other CNA friends considering a move. Best of luck with your California CNA certification – you’ve got this! Soon, you’ll be able to proudly say you’re a Certified Nursing Assistant in the Golden State. 🌟

Official Links

More Resources

You’ve got everything you need—now it’s time to take action. Welcome to California’s CNA community!

While this guide is based on thorough research and accurate information as of May 2025, applicants are strongly encouraged to verify all requirements directly with the California Department of Public Health (CDPH), as policies and forms may change without notice.

About the Author: Researched and compiled by the CNA Resources Team, dedicated to providing accurate career resources for CNAs.

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