Code of Massachusetts Regulations
105 CMR - DEPARTMENT OF PUBLIC HEALTH
Title 105 CMR 803.000 - Certification of Health Officers
Section 803.210 - Application for Certification

Universal Citation: 105 MA Code of Regs 105.803

Current through Register 1531, September 27, 2024

(1) Filing Procedure. An individual who desires to be certified as a Certified Health Officer and who meets the standards and qualifications specified in 105 CMR 803.200 shall complete an application on a form to be prescribed and furnished by the Department.

(2) Documentary Evidence. An application shall include proof of satisfactory completion of the education, training, and experience to meet the requirements for certification and proof of having passed such examination as approved or administered by the Department. The application shall include an examination as specified in 105 CMR 803.220. Said application form shall be filled out completely and shall be accompanied by the following:

(a) Official transcripts, or other official documentation satisfactory to the Department, verifying that the applicant meets the educational requirements specified in 105 CMR 803.200; and

(b) Work affidavit signed by employer(s) and submitted on a form prescribed and provided by the Department, or other written documentation satisfactory to the Department verifying that the applicant meets the experience requirements specified in 105 CMR 803.200(l)(c), if applicable; and

(c) A copy of the applicant's government issued identification that includes that applicant's full name and photograph; and

(d) Any and all additional documentation which may be requested in writing by the Department; and

(e) The required certification fee set forth in 801 CMR 4.00: Rates. All fees submitted in conjunction with an application for certification shall be non-refundable.

(3) Review of Applications. The Department shall notify an applicant in writing of any deficiencies in their application and any additional information requested by the Department. If the requested additional information is not received by the Department within 90 calendar days from the date of said written notice, the application shall be considered denied by the Department. An applicant or Certified Health Officer shall keep their up-to-date mailing address on file with the Department.

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