Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE
Chapter 10 - CREDENTIALS ISSUED UNDER THE UNIFORM CREDENTIALING ACT
Section 172-10-006 - VOLUNTARY SURRENDER OR LIMITATION

Universal Citation: 172 NE Admin Rules and Regs ch 10 ยง 006

Current through September 17, 2024

A credential holder may offer to voluntarily surrender or limit a credential issued by the department. The offer must be in writing and include:

(A) The credential holder's legal name and any other names by which the credential holder is known;

(B) The credential holder's complete mailing address;

(C) The credential holder's telephone number and e-mail address;

(D) The credential(s) and credential number(s) that would be surrendered or limited;

(E) The desired time frame for offered surrender or limitation:

(i) Permanently;

(ii) Indefinitely; or

(iii) Definite period of time (specify);

(F) The specific reason for offered surrender or limitation of the credential;

(G) Any specific terms and conditions that the credential holder wishes to have the department consider and apply to the offer;

(H) An attestation that all the information on the offer is true and complete; and

(I) The credential holder's signature and date.

Disclaimer: These regulations may not be the most recent version. Nebraska may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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