N.H. Admin. Code § Lab 516.05

Current through Register No. 36, September 5, 2024

Section Lab 516.05 - Application Process for Certificates

(a) An applicant to become a vocational rehabilitation provider shall request initial certification by submission of required information and certificate fee to the commissioner at any time during the calendar year.

(b) The applicant shall provide the following in the order below:

(1) Applicant's name;

(2) Applicant's home address;

(3) Applicant's home telephone number;

(4) Applicant's business name or employer's name;

(5) Applicant's business address, if different, or employer's address;

(6) Applicant's business telephone number, if different, or employer's telephone number;

(7) Current certification type(s), number, and expiration date;

(8) Educational level with major field of study and name of school attended;

(9) Related work experience with name of employer(s), job title(s), and years of experience;

(10) A statement that certifies that the information provided is true and correct in all respects; and

(11) Signature of the applicant and the date signed.

N.H. Admin. Code § Lab 516.05

#5041, eff 1-9-91; amd by #5235, eff 9-27-91; rpld by 5894, eff 9-2-94

New. #6596, eff 10-3-97, EXPIRED: 10-3-05

New. #9287, eff 10-1-08

Amended by, Volume XXXVI Number 14, Filed April 7, 2016, Proposed by #11067, Effective 4/1/2016, Expires 4/1/2026.