N.H. Admin. Code § Fam 405.03

Current through Register No. 45, November 7, 2024

Section Fam 405.03 - Documents Required to Support Applications for Reinstatement of Certification

The documents required to support an application for reinstatement of certification shall be:

(a) One of the documents described in Fam 302.04(a);

(b) If applicable, photocopies of any licenses, certifications, or other documents of approval to practice family mediation issued to the applicant by any foreign or domestic jurisdiction;

(c) If the answer to either Fam 302.03(c)(17) or Fam 302.03(c)(18) is affirmative, a statement disclosing and describing the facts in detail;

(d) If the answer to any part of the question in Fam 302.03(c)(19) is affirmative, a statement disclosing and describing the facts in detail, including:

(1) For a finding of abuse as described in the question:

a. The jurisdiction and court;

b. The finding of the court; and

c. The date of the finding;

(2) For the revocation of a professional license or certification as described in the question:

a. The type and the number of the professional license; and

b. The jurisdiction and name of the revoking authority; and

(3) For a conviction described in the question:

a. The jurisdiction and court;

b. The date of the conviction; and

c. The charge(s) of which the applicant was convicted;

(e) The following documentation issued by the provider of each of the courses the applicant has taken with the intention of meeting the requirements of Fam 405.01(c):

(1) The name of the course;

(2) The name of the course's sponsor or of the course's provider, if the provider is different from the sponsor;

(3) Whether the applicant's participation was as teacher or student;

(4) Whether participation was through attendance at a live presentation;

(5) The topic(s) covered by the course; and

(6) The date and number of hours of the course;

(f) If one or more of the courses the applicant has taken with the intention of meeting the requirements of Fam 405.01(c) has not already been approved by the board, the materials required by Fam 404.08 shall be submitted for board approval of the courses; and

(g) The names and contact information of a total of 3 signed letters of recommendation as described in Fam 405.04, sent directly to the board by the individuals writing them.

N.H. Admin. Code § Fam 405.03

(See Revision Note at chapter heading for Fam 400), #9672, eff 4-2-10

Amended by Volume XXXVIII Number 41, Filed October 11, 2018, Proposed by #12635, Effective 10/2/2018, Expires 10/2/2028.