Section Frl 302.01 - Application for Embalmer License(a) Each applicant for a license to practice as an embalmer in the state of New Hampshire shall supply the board with the following or with "Application for Embalmer License" form, revised 7/2021:(1) Full name, alias, any previously used names or maiden names, physical address, mailing address, telephone number and e-mail address, if any;(2) Date of birth, place of birth, date of naturalization, and place of naturalization;(3) Name and location of high school attended, and date received diploma;(4) Name and location of college attended, date graduated, and type of degree received, with official transcript attached;(5) Name and location of mortuary school attended, date of degree or diploma if different from Frl 302.01(a)(3), with official transcript attached; (6) A list of all states where the applicant is currently licensed;(7) Affidavit indicating apprentice embalmer has successfully completed the requirement set forth in Frl 301.03 and Frl 301.04 by the sponsoring New Hampshire licensed embalmer;(8) Certified copy of applicant's birth certificate with raised seal;(9) Affidavit of good professional character by New Hampshire licensed funeral director or embalmer;(10) Affidavit of good professional character by New Hampshire licensed funeral director or embalmer, other than employer;(11) Denial or affirmation with explanation upon request of the following: a. Whether the applicant has ever been the subject of any disciplinary action by any professional licensing authority;b. Whether the applicant has any past or current impairment by, or has been found to have diverted, chemical substances;c. Whether the applicant has been found guilty of, or entered a plea of no contest to, any felony or crime involving moral turpitude; and d. Whether the applicant is mentally and physically competent to practice embalming;(13) By the applicants signature affirm the following pledge: "I, state the information provided is accurate to the best of my knowledge and belief. I understand knowingly providing false information may be grounds for denial, reprimand, suspension, revocation of a license (RSA 325:32), and may be grounds for conviction of a misdemeanor (RSA 641:3)"; and(14) Signature and date on the form.(b) The applicant shall submit the embalmer licensing fee as cited in Frl 307.01.(c) Every applicant shall submit to the board an original, not a photocopy, of a criminal offender record report: (1) Issued by each state where the applicant has resided or been licensed within the preceding 10 years, provided that such states will:a. Send the report to the board; orb. To the applicant for forwarding to the board;(2) Covering the applicant under his or her legal name and under any aliases; and(3) Dated within 6 months of the application for licensure.(d) If the state where the applicant previously resided does not issue a criminal offender record reports as required, the board shall consider that applicant for licensure without having received the report.N.H. Admin. Code § Frl 302.01
#1689, eff 12-22-80; ss by #2344, eff 4-15-83; ss by #2986, eff 3-18-85; ss by #4357, eff 1-20-88, EXPIRED: 1-20-94
New. #8257, eff 1-15-05, EXPIRED: 1-15-13
Amended by byVolume XXXIV Number 16, Filed April 17, 2014, Proposed by #10567, Effective 5/1/2014, Expires5/1/2024 .Amended by Volume XLI Number 36, Filed September 9, 2021, Proposed by #13252, Effective 8/13/2021, Expires 8/13/2031.