Section Agr 1402.05 - Initial Public Weighmaster License Application Form(a) Any person who wishes initial licensure as a public weighmaster shall apply by completing and submitting form "Weighmaster Application Form."(b) Only the original of the completed form shall be submitted and copies of the completed form shall not be accepted.(c) The applicant shall supply the following: (2) The applicant's name, including last, first and middle;(3) The applicant's residence address, including street, city, state, and 9-digit zip code;(4) The applicant's mailing address, if different from the address for (3) above;(5) The applicant's residential telephone number;(6) The applicant's date of birth;(7) The applicant's driver's license number and state and county of issuance;(8) The applicant's e-mail address;(9) If the applicant has held a public weighmaster license under another name, that other name;(10) If the applicant has lived fewer than 5 years at the current address, the applicant's residential addresses for the past 5 years, including street, city, state, and 9-digit zip code;(11) For the applicant's present employer: d. The toll-free telephone number;e. The e-mail address, if available;f. The name of the business;g. The business's address, including street number, city, state, 9-digit zip code and county; andh. The business's mailing address if different from the address for g. above;(12) For the applicant's most recent previous employer for which the applicant held a public weighmaster license: a. The name of the business; andb. Its address, including street number, city, state and 9-digit zip code; and(13) The type of weighing or measuring equipment used, including: g. Date weighing or measuring equipment was last certified; andh. The name of the company which certified the scale.(d) On a separate page the applicant shall supply his or her social security number on the space provided beneath the following preprinted notice: "The Commissioner of the Department of Agriculture, Markets and Food will deny licensure if you refuse to submit your social security number (SSN). Your license will not display your SSN. Your SSN will not be made available to the public.
The Commissioner is required to obtain your social security number for the purpose of child support enforcement in compliance with 42 USC 666(a)(13) and RSA 161-B:11. This collection of your social security number is mandatory.
(e) The applicant shall read, sign, and date "Weighmaster Application Form", which states: "I certify that I have in my possession a current copy of the public weighmaster rules and that I shall operate in accordance with these rules.
I certify that there are no willful misrepresentations, falsifications or material omissions in the information provided on this application.
I understand that, if an investigation discloses any willful misrepresentations, falsifications or material omissions, my application will be rejected.
I understand that, if an investigation after issuance of my public weighmaster license should disclose any willful misrepresentations, falsifications or material omissions, the license will be invalid and I will be subject to an administrative fine under RSA 438:40, IV and possible prosecution under RSA 641:2."
(f) Each applicant shall have in his or her possession prior to the issuance of an initial public weighmaster license his or her own personal copy of the current weights and measures rules, Agr 1400.(g) The meaning of the signature required by (e) above shall be the applicant's: (1) Certification that he or she possesses a copy of the public weighmaster rules;(2) Promise that he or she will operate in accordance with them;(3) Certification that there are no willful misrepresentations, falsifications, or material omissions in the information provided on the application form;(4) Statement of understanding that if an investigation discloses any willful misrepresentations, falsifications or material omissions, the application will be rejected; and(5) Statement of understanding that, if an investigation after issuance of a public weighmaster license to the applicant should disclose any willful misrepresentations, falsifications or material omissions, the license will be invalid and the applicant will be subject to an administrative fine under RSA 438:40, IV and possible prosecution under RSA 641:2.N.H. Admin. Code § Agr 1402.05
(See Revision Note at chapter heading for Agr 1400) #7462, eff 3-21-01; ss by #9416, INTERIM, eff 3-13-09, EXPIRED: 9-9-09
New. #9639, eff 1-20-10
Amended by Volume XXXVII Number 50, Filed December 14, 2017, Proposed by #12424, Effective 12/1/2017, Expires 12/1/2027.