New Hampshire Code of Administrative Rules
Soil - Board of Natural Scientists
Chapter Soil 400 - CONTINUED STATUS
Part Soil 402 - REINSTATEMENT
Section Soil 402.03 - Reinstatement Application
Current through Register No. 40, October 3, 2024
The applicant for reinstatement shall supply the following information on the application form "Application For Reinstatement of Certification as a Soil or Wetland Scientist":
(a) The applicant's full legal name;
(b) Any names previously used, if applicable;
(c) Date of birth;
(d) The license number held in the state of NH;
(e) Home mailing address;
(f) Home physical address if different from home mailing address;
(g) Personal e-mail address;
(h) Business name;
(i) Business address and telephone number;
(j) Answer Yes or no to the following:
(k) Sign and date the form under the following attestations:
"I acknowledge that knowingly making a false statement on this application form is a misdemeanor under RSA 641:2, I. I certify that the information I have provided on all parts of the application form and in the documents that I have personally submitted to support my application is complete and accurate to the best of my knowledge and belief. I also certify that I have read the statute and the rules of the Board and promise that, if I am certified, I will abide by them."
(See Revision Note at chapter heading for Soil 400) #9886-A, eff 3-11-11