Section 172-10-003 - INITIAL CREDENTIAL To obtain a credential, an individual must submit a complete application and provide documentation demonstrating that the applicant meets the credentialing requirements.
003.01 REQUIREMENTS AND DOCUMENTATION. All applicants must meet minimum requirements for credentialing and submit documentary proof of same 003.01(A) AGE AND GOOD CHARACTER. An applicant must be at least 19 years old, except as otherwise provided by statute, and of good character.003.01(B) CITIZENSHIP OR LAWFUL PRESENCE. Applicants must submit documentation that he or she meets the requirements set out in Neb. Rev. Stats. § 38-129 and §§ 4-108 through 4-111.003.01(C) EDUCATION. Applicants for a credential must provide:(i) Documentation that the applicant has completed the required course of study for the credential, if applicable; or(ii) Satisfactory evidence that the education, training, or service completed by an applicant while a member of the armed forces of the United States, active or reserve, the National Guard of any state, the military reserves of any state, or the naval militia of any state is substantially similar to the education required for the credential.003.01(D) EXAMINATION. The applicant must provide documentation that he or she has completed the required examination for the credential, if applicable.003.01(E) OTHER CREDENTIAL INFORMATION. If the applicant holds a credential to provide health services, health-related services, or environmental services in another jurisdiction, the applicant must provide the name of the jurisdiction, credential number, type of credential, date issued, and expiration date for each credential the applicant holds or has held.003.01(F) DISCIPLINARY ACTION. If the applicant's credential in another jurisdiction has been disciplined, the applicant must provide a list of any disciplinary actions taken against the applicant's credential and a copy of the disciplinary action(s), including charges and disposition.003.01(G) DENIAL. If the applicant was denied a credential in another jurisdiction, the applicant must submit an explanation of the basis for the denial and a copy of the denial documentation.003.01(H) CONVICTION INFORMATION. If the applicant has ever been convicted of a felony or misdemeanor in Nebraska or in another jurisdiction, the applicant must submit: (i) A copy of the entire court record related to all misdemeanor and felony convictions;(ii) An explanation of the events leading to the conviction (what, when, where, why) and a summary of actions that the applicant has taken to address the behaviors or actions related to the conviction; and(iii) A letter from the applicant's probation officer addressing the terms and current status of the probation, if the applicant is currently on probation.003.01(I) DRUG OR ALCOHOL RELATED CONVICTIONS. To aid in the evaluation of an applicant's drug or alcohol related conviction(s), an applicant may submit evaluation and discharge summaries where drug or alcohol treatment was obtained or required. Evaluations and discharge summaries may be submitted by the provider directly to the department.
003.02 APPLICATION. All applicants must submit a complete application. 003.02(A) APPLICANT INFORMATION. The applicant must provide the following: (i) Legal name and any other names by which the applicant is known;(ii) Complete mailing address;(iii) Social security number (SSN) or Alien Registration Number (A#). Some applicants may have both a social security number (SSN) and an Alien Registration Number (A#) and if so, the applicant must report both; and(iv) Telephone number and -mail address.003.02(B) PRACTICE STATEMENT. A statement that the applicant has not practiced the profession or represented himself or herself as holding a credential in Nebraska before submitting the application; or if the applicant has, a statement of the number of days practiced and the name and location of practice.003.03 MILITARY SPOUSE TEMPORARY CREDENTIAL. The department, with the recommendation of the appropriate board, will issue a temporary credential to a military spouse who complies with and meets the requirements of Neb. Rev. Stat. § 38-129.01 pending issuance of the applicable credential under the Uniform Credentialing Act. This does not apply to a credential to practice dentistry, including a temporary license issued under Neb. Rev. Stat. § 38-1123.172 Neb. Admin. Code, ch. 10, § 003
Adopted effective 6/24/2019