N.H. Admin. Code § Occ 302.03

Current through Register No. 50, December 12, 2024

Section Occ 302.03 - Required Documents

Applicants for initial licensure as an occupational therapist or occupational therapy assistant shall provide, or arrange for the board to receive, the following documents supporting their applications:

(a) A passport size, 2" x 2", original head-shot photograph taken within the immediately preceding 6 months;

(b) On a separate sheet, a detailed report of the relevant circumstances if any of the answers to questions from the application form specified in Ahp 601.01 are in the affirmative;

(c) Official transcripts showing all relevant education as described in RSA 326-C:5(c):

(1) Mailed directly to the board by the issuing institution(s); or

(2) Submitted by the applicant in one or more envelope(s) sealed by the institution(s) in such a manner that it would be evident to the board if the envelope(s) had been opened;

(d) An official letter of verification sent directly to the board from every state which has issued a license or other authorization to practice stating whether:

(1) The license or other authorization is or was, during its period of validity, in good standing; and

(2) Whether any disciplinary action was taken against the license or other authorization to practice;

(e) If the applicant was ever certified by NBCOT, unless the information is available only on a website through a secure connection, a letter verifying such certification sent by NBCOT directly to the board;

(f) If the applicant was not previously certified by NBCOT, unless the information about the applicant's success on the examination required by Occ 303.01(b)(4) is available only on a website through a secure connection, a letter verifying that the applicant passed the examination sent by NBCOT directly to the board;

(g) A resume presenting a chronologically organized account of the applicant's experience in occupational therapy for the previous 6 years, including:

(1) Each separate experience in paid or volunteer work as:

a. A direct care-giver in occupational therapy;

b. An occupational therapy educator;

c. An occupational therapy administrator;

d. A member of an occupational therapy board or committee; and

e. An occupational therapy consultant;

(2) The time period of each separate experience described by its beginning and ending dates;

(3) The number of hours of engagement in each separate experience estimated on a per-week or per-month basis; and

(4) The physical address of each separate experience;

(h) If Occ 303.02 is applicable, the following proofs of having met the continuing competence requirements:

(1) A transcript of each professional education program taken displaying the hours of continuing professional education credited; or

(2) A proof of attendance displaying, for each professional education program:

a. The name of the applicant;

b. The name of the program, if descriptive of its contents, or other description of the program contents;

c. The beginning and ending dates of the program;

d. The duration of the program stated in hours; and

e. The signature of a representative of the program's provider;

(i) If Occ 304.01 is applicable, the completed supervision form described in Ahp 601.06; and

(j) Either:

(1) A completed criminal history records check form and fingerprint card, seeking both a New Hampshire and a federal records check, in accordance with the procedure specified by the NH department of safety at Saf-C 5700, Operation of the Central Repository: Criminal Records, and with the required fee. If the federal criminal history records check shows the existence of a criminal record in another state, the applicant shall obtain a detailed criminal record check directly from that state and provide it to the board; or

(2) An original, not a photocopy, of a criminal offender record report:

a. Issued by each state where the applicant has resided or been licensed within the past 6 years, providing that such state will:

1. Send the report to the board; or

2. To the applicant to be forwarded to the board;

b. Covering the applicant under his or her name and any aliases; and

c. Dated within 6 months preceding the application for licensure.

N.H. Admin. Code § Occ 302.03

#8296, eff 3-1-05; ss by #8894, eff 6-7-07

Amended by Volume XXXV Number 32, Filed August 13, 2015, Proposed by #10901, Effective 7/29/2015, Expires7/29/2025.

Amended by Volume XLI Number 32, Filed August 12, 2021, Proposed by #13243, Effective 7/28/2021, Expires 7/28/2031 (see Revision Note at chapter heading for Occ 300)