CRONA Forms

All current CRONA forms are on this page. Clicking on the link for the form will take you to the form. Please complete and submit the form. When a form is submitted you will automatically be sent a copy of the form to the email address entered in the form.

ADO – Assignment Despite Objection

For use by Nurses to formally document circumstances in which the RN believes a staffing situation is unsafe or inadequate. The Nurse submitting the form must provide a copy of the form to the unit manager. All ADOs are reviewed monthly in the Nurse Practice Committee by CRONA and Nursing Administration.

Consent to Serve 2022-2025 Term

Apply for a CRONA position; this is for all CRONA positions, including Area Representatives.

Consent to Serve as Alternate Area Rep for CRONA Convention 2022

Complete this form if you were asked to attend the 2022 CRONA Convention in the place of an Area Representative who is unable to attend.

SHC Holiday Bundling Vote Request

Request a unit vote be held to “bundle” the winter holidays with the holiday eves for scheduling purposes. This is a PDF document and must be submitted to unit manager.

LPCH Holiday Bundling Vote Request

Request a unit vote be held to “bundle” the winter holidays with the holiday eves for scheduling purposes. This is a PDF document and must be submitted to unit manager.

Area Representative Expense Reimbursement Request

This is for use of Area Representatives only, for reimbursement of allowed expenses.