N.H. Admin. Code § Sep 401.03

Current through Register No. 45, November 7, 2024

Section Sep 401.03 - Renewal Application

The applicant shall supply the following information on the "Septic System Evaluator Renewal Application" form, revised September 2018 and provided by the board, for license renewal:

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

(b) The applicant's full name;

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

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

(e) The applicant's email address;

(f) Certification that the applicant has complied with the continuing education requirements of Sep 403;

(g) A statement indicating any disciplinary action brought against the applicant;

(h) A statement indicating whether the applicant has ever been convicted of any felony, or any misdemeanor, and if so, the name of the court, the details of the offense, and the date of conviction and the sentence imposed;

(i) A statement indicating that to his or her knowledge the applicant has adhered to the ethical and professional standards of RSA 310-A:205 and Sep 500 - and Sep 600;

(j) Acknowledgment that the provision of materially false information in the application known by the applicant to be untrue is a basis for denial;

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

(l) Evidence of successful completion of 6 hours of board approved education pursuant to RSA 310-A:212;

(m) The renewal fee as specified in Sep 301.03; and

(n) The applicant's signature and date.

N.H. Admin. Code § Sep 401.03

Derived From Volume XXXVIII Number 45, November 8, 2018, Proposed by #12654, Effective 10/31/2018, Expires 10/31/2028.