New Hampshire Code of Administrative Rules
Saf - Department of Safety
Subtitle Saf-C - Commissioner, Department of Safety
Chapter Saf-C 5900 - EMERGENCY MEDICAL SERVICES RULES
Part Saf-C 5904 - PROVIDER LICENSING STANDARDS
Section Saf-C 5904.02 - Provider License Application

Universal Citation: NH Admin Rules Saf-C 5904.02

Current through Register No. 40, October 3, 2024

(a) Each applicant for a provider license shall complete and submit "New Hampshire Bureau of EMS Provider License Application" form, https://www.nh.gov/safety/divisions/fstems/documents/providerlicenseapplication.pdf, as revised 1/2021.

(b) The application shall be signed and dated by:

(1) The applicant;

(2) When applicable, the primary EMS service's head of unit or his/her designee to certify that the applicant is affiliated with the licensed unit; and

(3) In the case of an apprentice, a parent or legal guardian.

(See Revision Note at chapter heading for Saf-C 5900) #7690, eff 5-21-02, EXPIRED: 5-21-10

New. #9779-A, eff 9-8-10

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