Section Psyc 401.04 - Inactive Status(a) Inactive status shall be granted by the board for the remainder of the current license term to a license holder who: (1) Holds a current NH license with the board;(2) Has no disciplinary action or pending disciplinary action;(3) No longer actively engages in the practice of psychology in New Hampshire; and(4) Notifies the board in writing that he or she wishes to put their license on inactive status by submitting a "Request for Inactive Status" form as described in (b) below.(b) Licensees wishing to be placed on inactive status shall provide the following on a "Request for Inactive Status" form: (1) His or her name, address, business and home phone numbers, and license number;(2) Whether the licensee is currently practicing as a psychologist in the state of New Hampshire;(3) Whether the licensee has been found civilly liable for professional misconduct, guilty of any criminal offense, or found to have committed an ethical violation by a state or national professional association or any other state's regulatory board, or entered into a settlement agreement with any state outside of New Hampshire;(4) Whether the licensee has any complaints pending in another jurisdiction and, if so, an explanation of such complaints;(5) Attaching additional sheets if necessary, a written explanation of why the licensee wishes to go on inactive status;(6) The date the licensee wishes inactive status to begin;(7) Whether the licensee, if currently employed, has informed his or her employer that his or her license will be inactive as of the date requested in (6) above; and(8) A dated signature indicating that the licensee acknowledges the provision of false information is a basis for disciplinary action by the board.(c) Licensees who have been granted inactive status may: (1) Allow the license to expire at the end of the license term; or(2) File an application for renewal of the license in accordance with this part prior to the expiration of the license, and request a continuation of inactive status.(d) Pursuant to RSA 329-B:25, III and RSA 332-G:7, upon the request of a person licensed by the board who is a member of any reserve component of the armed forces of the United States or the national guard and is called to active duty, the board shall place such person's license on inactive status.N.H. Admin. Code § Psyc 401.04
Derived From Volume XXXVI Number 49, Filed December 8, 2016, Proposed by 12035-B, Effective 11/4/2016, Expires 11/4/2026.