21 N.C. Admin. Code 52.0611

Current through Register Vol. 39, No. 11, December 2, 2024

Section 52 .0611 - FORMS AND APPLICATIONS

(a) The Board shall issue the following items in accordance with applicable state statutes and this Chapter's administrative rules:

(1) Certificate of Licensure;

(2) Licensure Renewal Card;

(3) Temporary License Certificate; and

(4) Certificate of Corporate Registration.

(b) The Board shall provide and require use of the followingapplication forms that may be obtained from the Board's web site, http://www.ncbpe.org:

(1) Licensure Renewal Application;

(2) Disclaimer Form;

(3) Corporate Registration Application;

(4) Corporate Registration Renewal;

(5) Specialty Credentialing Application;

(6) CME (Continuing Medical Education) Submission Form;

(7) Recommendation Form; and

(8) License Application (Regular, Temporary, Military, Reciprocity).

21 N.C. Admin. Code 52 .0611

Authority G.S. 55B-10; 55B-11; 90-202.4(g); 90-202.6; 90-202.7; 90-202.9; 90-20.10; 90-202.11;
Eff. June 1, 2011;
Amended Eff. November 1, 2015; October 1, 2014.

Authority G.S. 55B-10; 55B-11; 90-202.4(g); 90-202.6; 90-202.7; 90-202.9; 90-202,10; 90-202.11;
Eff. June 1, 2011.

Amended by North Carolina Register Volume 29, Issue 09, November 3, 2014 effective 10/1/2014.

Amended by North Carolina Register Volume 30, Issue 11, December 1, 2015 effective 11/1/2015.