New Hampshire Code of Administrative Rules
Lab - Commissioner, Department of Labor
Chapter Lab 500 - WORKERS' COMPENSATION CLAIMS
Part Lab 516 - CERTIFICATION OF VOCATIONAL REHABILITATION PROVIDERS
Section Lab 516.05 - Application Process for Certificates

Universal Citation: NH Admin Rules Lab 516.05

Current through Register No. 40, October 3, 2024

(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.

#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

Disclaimer: These regulations may not be the most recent version. New Hampshire 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.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.