N.H. Admin. Code § Saf-C 5904.02

Current through Register No. 50, December 12, 2024

Section Saf-C 5904.02 - Provider License Application

(a) Each applicant for a provider license shall complete and submit "New Hampshire Bureau of EMS Provider License Application" form, https://www.nh.gov/safety/divisions/fstems/documents/providerlicenseapplication.pdf, as revised 1/2021.

(b) The application shall be signed and dated by:

(1) The applicant;

(2) When applicable, the primary EMS service's head of unit or his/her designee to certify that the applicant is affiliated with the licensed unit; and

(3) In the case of an apprentice, a parent or legal guardian.

N.H. Admin. Code § Saf-C 5904.02

(See Revision Note at chapter heading for Saf-C 5900) #7690, eff 5-21-02, EXPIRED: 5-21-10

New. #9779-A, eff 9-8-10

Amended by Volume XXXIX Number 24, Filed June 13, 2019, Proposed by #12790, Effective 5/24/2019, Expires 5/24/2029.

Amended by Volume XLI Number 10, Filed March 11, 2021, Proposed by # 13174, Effective 2/24/2021, Expires 2/24/2031