N.H. Admin. Code § Inst 301.11

Current through Register No. 45, November 7, 2024

Section Inst 301.11 - Renewal Application

The applicant shall supply the following on the application form for license renewal Inst 3R:

(a) Applicant's name and any names previously used;

(b) Applicant's:

a.Home address;

b.Business address;

c.Home and business telephone number;

d.Home and business e-mail address; and

e.Business facsimile number;

(c) A statement indicating any disciplinary or legal action brought against the applicant as a manufactured housing installer by any licensing/certification board or jurisdiction and if so a description of the incident;

(d) A statement indicating that the applicant has complied with the continuing education requirements of Inst 304.01(c);

(e) Disclosure of whether the applicant has:

a.Since the last renewal been convicted of mishandling funds or other property entrusted to the applicant by another party, and if so, the court of conviction and disposition;

b.Filed bankruptcy, and if so, the dates of prior filings;

c.Been convicted of a misdemeanor or felony or a crime other than a minor traffic offense, that has not been annulled;

d.Been sued civilly, and if so an explanation; and

e.Convicted of any crime, and if so, the date and the name of the court;

(f) Acknowledgment that the provision of materially false information in the application knowingly provided is a basis for denial;

(g) Acknowledgement that, if the applicant provided false information that is discovered after the license is renewed, it shall be a basis for disciplinary action by the board; and

(h) The applicant's signature and date.

N.H. Admin. Code § Inst 301.11

#10115, eff 4-14-12