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.

Ratification Voting Proxy Online Form

Submit your voting proxy online in one easy step!

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

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

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.