844 Ind. Admin. Code 5-9-3

Current through November 6, 2024
Section 844 IAC 5-9-3 - Application

Authority: IC 25-22.5-2-7; IC 25-22.5-15

Affected: IC 25-22.5; IC 34-30-13

Sec. 3.

(a) The application for inclusion as an approved location on the health care volunteer registry must be made upon forms supplied by the board.
(b) Each applicant shall provide the board with evidence of compliance with the requirements of this rule.
(c) All information in the application shall be submitted under oath or affirmation, subject to the penalties of perjury.
(d) Application forms submitted to the board must be complete. All supporting documents required by the application must be submitted with the application.

844 IAC 5-9-3

Medical Licensing Board of Indiana; 844 IAC 5-9-3; filed 9/29/2016, 10:30 a.m.: 20161026-IR-844150421FRA
Readopted filed 11/22/2022, 12:22 p.m.: 20221221-IR-844220255RFA
Readopted filed 2/27/2024, 10:19 a.m.: 20240327-IR-844230772RFA