N.H. Admin. Code § Geo 401.03

Current through Register No. 50, December 12, 2024

Section Geo 401.03 - Renewal Application

The applicant shall supply the following information on the application form for license renewal:

(a) The applicant's full name;

(b) The applicant's business name, address, and telephone number;

(c) The applicant's home address and telephone number;

(d) The applicant's e-mail address;

(e) The applicant's license number and expiration date;

(f) The renewal amount due and late fee if applicable;

(g) Whether it's a first time renewal;

(h) An attestation that the applicant has complied with the continuing education requirements of Geo 403;

(i) A statement indicating any disciplinary or legal judgments against the applicant for his or her services as a professional geologist;

(j) A statement indicating that the applicant has adhered to the ethical and professional standards of Geo 500;

(k) The applicant's acknowledgement that knowingly providing the board with false information, or providing information with disregard for its truth or falsity when such information is in fact false, provides a basis for disciplinary action by the board; and

(l) The applicant's signature and date.

N.H. Admin. Code § Geo 401.03

#7526, eff 7-1-01; ss by #9439, eff 3-25-09

Amended by Volume XXXVII Number 15, Filed April 13, 2017, Proposed by #12152, Effective 3/24/2017, Expires 3/24/2027.