New Hampshire Code of Administrative Rules
Plc - Executive Director, Office of Professional Licensure and Certification
Chapter Plc 300 - LICENSURE OF REGULATED PROFESSIONS
Part Plc 304 - INITIAL LICENSURE
Section Plc 304.05 - Signature and Attestation Required for Initial License Application

Universal Citation: NH Admin Rules Plc 304.05

Current through Register No. 12, March 21, 2024

(a) The applicant for an initial license, or the authorized individual on behalf of an entity, shall sign and date the application, provided that for applications that are submitted electronically, the act of submitting the application shall constitute the signature and the date of submission shall be the date.

(b) The signature shall constitute the applicant's attestation that:

(1) The applicant is not under investigation by any professional licensing board and the applicant's credentials have not been suspended or revoked by any professional licensing board, unless a written explanation of each such occurrence is being submitted with the application pursuant to Plc 304.04(a);

(2) The information and documentation provided are true, complete, and not misleading to the best of the applicant's knowledge and belief;

(3) The applicant understands that providing false or misleading information constitutes grounds for denial, suspension, or revocation of a license; and

(4) The applicant understands that knowingly providing false material information constitutes a misdemeanor under RSA 641:3 relative to falsification in official matters.

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