N.H. Admin. Code § Nat 402.06

Current through Register No. 50, December 12, 2024
Section Nat 402.06 - Supporting Materials
(a) Renewal applicants shall submit the following supporting materials:
(1) If any responses to the questions set forth in Nat 402.05(e) are affirmative, a complete and detailed written statement of the circumstances;
(2) If any responses to the questions set forth in Nat 402.05(i) are affirmative, a complete and detailed statement of the circumstances, written on a sheet of paper separate from the sheet of paper used for the statement required by (a) above;
(3) The individualized continuing education report described in Nat 402.08;
(4) As attachments to the individualized continuing education report, photocopies of transcripts or certificates of attendance complying with Nat 402.07(d) documenting any continuing education completed since the licensee last submitted information about continuing education on the individualized continuing education report; and
(5) If not previously supplied to the board, the applicant's social security number written on a separate sheet of paper which is:
a. Provided by the board; and
b. Includes the following preprinted notice:

"Information About The Request for Your Social Security Number

The Naturopathic Board of Examiners is required by law to ask for your social security number. The number will be held confidential by the Board and used only for enforcement of the laws governing child support. ( 42 USC 666(a)(13); RSA 161-B:11)."

(b) The information provided by the applicant described in (h) above shall not be used for any reason except the enforcement of child support laws pursuant to 42 USC 666(a)(13) and RSA 161-B:11.

N.H. Admin. Code § Nat 402.06

#8679, eff 7-11-06

Amended by Volume XXXVII Number 23, Filed June 8, 2017, Proposed by #12176, Effective 5/17/2017, Expires 5/17/2027.