S.D. Admin. R. 44:71:02:01

Current through Register Vol. 51, page 67, December 16, 2024

Section 44:71:02:01 - Application form and content

An application form provided by the department shall include the following:

(1) Name and address of the employing facility;

(2) Name and dated signature of a contact person;

(3) Name and address of eligible health professional, plus any degree held;

(4) Health professional's occupation and license or certification number;

(5) Health professional's start date at the employing facility; and

(6) Date when the vacancy filled by the health professional was created.

S.D. Admin. R. 44:71:02:01

39 SDR 9, effective 7/30/2012.

General Authority: SDCL 34-12G-15.

Law Implemented: SDCL 34-12G-15.