N.H. Admin. Code § He-Hea 305.03

Current through Register No. 50, December 12, 2024
Section He-Hea 305.03 - Report Forms
(a) The implementation reports shall conform to the requirements of He-Hea 206.01(a) and (e).
(b) The implementation report form shall contain the following elements:
(1) The legal name of person(s) required to submit an implementation report pursuant to RSA 151-C:12, V;
(2) Address of the facility or proposed facility, including the street, city, state and zip code;
(3) Certificate of need number.
(4) Name and telephone number of contact person, the person(s) named by the owner;
(5) Employer identification number, as assigned by the Internal Revenue Service;
(6) A brief description of the project for which an implementation report is filed;
(7) The date the construction contract was signed between the applicant and the general contractor;
(8) The date the actual construction work commenced on the project;
(9) The estimated date the project will be completed for which the CON was issued;
(10) The percentage of project completion as of the date the implementation report is filed;
(11) Changes of premises or geographical area, including the physical changes in location from those stated in the application; and
(12) All project costs.
(c) A certified copy of the written agreement between the 2 parties shall be submitted with the first implementation report filed upon project commencement pursuant to He-Hea 301.12.
(d) The report form shall contain a statement as to whether the applicant or petitioner considers any of the project costs not to be capital expenditures pursuant to RSA 151-C:2, VI, along with appropriate citation of generally accepted accounting principles, and demonstration of consistent application thereof in applicant's financial accounting practices.

N.H. Admin. Code § He-Hea 305.03

#7139, eff 11-23-99; EXPIRED: 11-23-07

New. #9075-B, eff 1-24-08

The amended version of this section by New Hampshire Register Volume 36, Number 19, eff.4/23/2016 is not yet available.