New Hampshire Code of Administrative Rules
Saf - Department of Safety
Subtitle Saf-C - Commissioner, Department of Safety
Chapter Saf-C 2700 - PERMITS FOR HOSPITAL EMERGENCY LIGHTS
Part Saf-C 2703 - OBTAINING HOSPITAL EMERGENCY PERMIT
Section Saf-C 2703.02 - Application for Hospital Emergency Permit

Universal Citation: NH Admin Rules Saf-C 2703.02

Current through Register No. 40, October 3, 2024

(a) The department shall furnish application forms for a hospital emergency permit, form DSMV 370, at the Division of Motor Vehicles, 23 Hazen Drive, Concord, N.H. 03305.

(b) Each applicant for a hospital emergency permit shall furnish the following on form DSMV 370 "Application for Hospital Emergency Permit":

(1) Name, address, and date of birth;

(2) Name and address of the hospital in which applicant is employed or affiliated; and

(3) Driver license number and state of issuance.

(c) In addition to the requirements of (b) above, the applicant shall submit an employment certification signed by the hospital administrator pertaining to the applicant's employment status.

(d) The applicant shall sign and date the form.

#4976, eff 11-14-90; ss and moved by #6174, eff 1-26-96 (from Saf-C 2702), EXPIRED: 1-26-04

New. #8073, eff 4-23-04; ss by #10084, eff 1-31-12

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