Fees, Forms & Applications
Initial Application Cat. I | $100.00 |
Initial Application Cat. II | $125.00 |
Examination | $150.00 (Section A & B) |
Classroom Training* | $400.00* (Section B) |
License | $125.00 |
License Renewal | $150.00 |
Reciprocity Questionnaire | $100.00 |
Late Renewal Penalty | $275.00 |
Inactive Reactivation Fee | $325.00 |
Bad Check Fee | $30.00 |
Emergency Permit | $350.00 |
Replacement License Fee | $25.00 |
Reapplication Fee | $150.00 |
Administrative Fee | $100.00 |
Administrative Fines | $5,000.00 |
Copies (per page) | $.75 (per page 1-25) $.25 (per page 26+) |
If you wish to obtain the complete licensure application packet, please print out the Application Letter, Application for Licensure, Accommodation Request Form, Character Reference Form, Endorsement from Employer Form, Commitment to Fulfill Experience Requirement Form, Reciprocity Questionnaire, Classroom Training and Test Dates, Qualifications for Licensure, Rules and Regs, “Applicant Disclosure/Release Authorization for Background Investigation” and Fee Schedule.
- Diagram for the Assisted Living Administrators License Process
- Administrator Change Form (Print on Your Letterhead)
- A.L.A. Renewal Application Form
- A.L.A. Renewal for NHA
- Accommodation Request Form
- Alabama Health Care Facilities and Administrator of Record Directory
- Alabama Immigration Law Affidavit Form
- Annual Licensee Survey
- Application for Licensure
- Application for Reactivation of Alabama License
- Background Check Release Form
- Board Approved 240 Hour Internship
- CEU Request Form
- Character Reference Form
- Commitment to Fulfill Experience Requirement Form
- Complaint Form & Policy
- Credit Card Authorization
- Emergency Permit Application
- Employment Verification Form
- Endorsement from Employer Form
- Guidelines for Review of Continuing Education Program
- Inactive Status Request Form
- NHA Application for A.L.A. License
- Notification of Change in Personal Information
- Personal Record of CEUs
- Reciprocity Questionnaire
- Request to Give Licensee Information
Online Renewals & Forms
- Assisted Living Administrator License Renewal
- Replacement License Form
- NHA Initial Application for ALA License
- NHA Renewal for ALA License
- Initial Application for ALA License
- Emergency Permit
ALL FEES PAID TO THE BOARD OF EXAMINERS OF ASSISTED LIVING ADMINISTRATORS ARE NON-REFUNDABLE.
Rules & Regulations
Disciplinary Actions
Click here for the most recently updated list of disciplinary actions.
UPDATED 12/21/2018
For more information, please send a formal written request to the Executive Director.