Application Instructions

  • The complete application for licensure and TEL application must be received in the board office no later than ten (10) business days of the administrator position being vacated.
  • The temporary emergency license (TEL) application should be completed by the facility owner/operator or designee and the person they wish to receive the temporary emergency license. The complete TEL application can be faxed or emailed to the board office. No fee is associated with the TEL application.
  • Owner/operator should instruct the person, for whom they are requesting the temporary emergency license, to read and follow the application instructions, and complete and mail the application for licensure. The instructions and application are available under License Application and choose the appropriate license type.
  • Owner/operator should ensure that the administrator leaving the position notifies the board office of the change in their employment status. This can be done by emailing our office at bnha@health.mo.gov.
  • Criteria for a 90-day temporary emergency license:
    1. Applicant must be 21 years of age, high school or GED completion, and of good moral character
    2. Applicant has not been denied an administrator’s license or has not had an administrator’s license suspended or revoked; and
    3. Complete application for licensure and TEL application must be received in the board office no later than ten (10) business days of the administrator position being vacated.

Temporary Emergency License Extension Application Form

Application Instructions

  • The TEL extension application should be completed by the facility owner/operator or designee and applicant and sent via email or fax to the board office at least 21 days prior to the TEL expiration. No fee is associated with the TEL extension application.
  • Criteria for emergency license extension:
    1. The holder of the TEL has been qualified by the board*;
    2. Required exam(s) taken by the holder of the TEL and the exam results have not been received by the board office (exam results are released to the board office within 15 days after the exam(s) are taken); and
    3. The TEL extension application is submitted to the board office at least 21 days prior to the expiration of the original emergency license.

* In the event that the holder of the emergency license has not been found qualified by the board, they will not qualify for an extension. Therefore, it will be necessary for the facility to hire a fully licensed administrator on or before the expiration date of the initial emergency license.