New Hampshire Code of Administrative Rules
Lsa - Board of Landscape Architects
Chapter Lsa 400 - CONTINUED STATUS
Part Lsa 401 - RENEWAL OF LICENSE
Section Lsa 401.03 - Renewal Application

(a) The applicant's full legal name;

(b) The applicant's e-mail address;

(c) The applicant's home mailing address;

(d) The applicant's home physical address if different from the mailing address;

(e) The applicant's home phone or cellphone number;

(f) The applicant's business name, address, and telephone number, if applicable;

(g) Yes or no to the question "Have you ever been convicted of a felony or misdemeanor which has not been annulled or previously reported?". If the answer is yes provide the name of the court(s), a detailed explanation of the offense(s), the date of conviction(s), and the sentence(s) imposed;

(h) Yes or no to the question "Have you ever lost or been denied registration or licensure as a landscape architect or been disciplined by another licensing board in any other state or jurisdiction which has not been previously reported?" If yes, provide a detailed explanation of the circumstances and attach the settlement agreement or order;

(i) Yes or no to the question "Have you completed 30 hours of continuing education that meets the requirements set forth in Lsa 403?". If the answer is no provide a detailed explanation of the no answer;

(j) The applicant's signature and date of signing below the following attestation:

"I attest that the information contained in this form is true and correct to the best of my knowledge and believe and acknowledge that the provision of false information in the application is a basis for disciplinary action by the board. In addition, I have read and understand the rules that govern the practice of landscape architecture and if my license is renewed, I will abide by them including the ethical and professional standards."