N.H. Admin. Code § Agr 1407.04

Current through Register No. 50, December 12, 2024

Section Agr 1407.04 - Application Form for Initial Device License

(a) An applicant for an initial device license shall furnish the following on a form supplied by the division known as "Application Form for a Weighing and Measuring Device License":

(1) The date of application;

(2) The opening date of the business;

(3) For the business applying for the license:

a. The name of the business;

b. The physical location of the business, including the street and number, town or city, state, and zip code;

c. The billing address, if different from the address of the location;

d. The telephone number;

e. The cell phone number, if any;

f. The fax number, if any;

g. The email address;

h. The name of the designated contact person / authorized agent; and

i. The name of the applicant;

(4) For a device to be licensed, submit a copy of the placed-in-service report which shows that a registered New Hampshire service technician inspected, tested, and certified the device that the applicant is seeking to license; and

(5) The signature of an applicant who is an individual, or the signature of a representative of an applicant which is an entity, together with the date of signing, placed below the following preprinted statement:

"I certify the following:

(1) that all devices being used commercially are provided with this application;

(2) that there are no willful misrepresentations or falsifications in the information provided on or with this application;

(3) that I understand that if an investigation discloses any willful misrepresentations or falsifications, my application shall be rejected;

(4) that if, after issuance of my device license, should an investigation disclose any willful misrepresentations or falsifications, my license may be revoked or suspended and I may be subject to penalties under RSA 438:40."

(b) The meaning of the signature required by (a) (5) above shall be that:

(1) The applicant certifies that there are no willful misrepresentations or falsifications or material omissions in the information provided on the device-licensing application form; and

(2) The applicant understands that, if an investigation should disclose any willful misrepresentations, falsifications, or material omissions, the application will be denied and any license already issued will be invalid.

N.H. Admin. Code § Agr 1407.04

(See Revision Note at chapter heading for Agr 1400) #7462, eff 3-21-01; ss by #9416, INTERIM, eff 3-13-09, EXPIRED: 9-9-09

New. #9639, eff 1-20-10

Amended by Volume XXXV Number 49, Filed December 10, 2015, Proposed by #10976, Effective 11/20/2015, Expires 11/20/2025.

Amended by Volume XXXVII Number 50, Filed December 14, 2017, Proposed by #12424, Effective 12/1/2017, Expires 12/1/2027.