Current through Register Vol. XLI, No. 50, December 13, 2024
Section 14-8-3 - Application for Licensure by Reciprocity3.1. The applicant shall submit the prescribed application and include two (2) current photographs of him or herself not to exceed two (2) inches by two (2) inches.3.2. The applicant shall submit certification from the Council on Endorsed Licensure Mobility for Optometrists, a subdivision of the Association of Regulatory Boards of Optometry, or 3.2.a. The applicant shall arrange for proof from the optometry board in each state where he or she holds or has ever held a license to be submitted directly to the Board.3.3. The applicant shall arrange for a current copy of his or her record from the National Practitioner Data Bank (NPDB) and the Healthcare Integrity & Protection Data Bank (HIP-DB) to be submitted directly to the Board.3.4. The applicant shall supply written evidence that he or she has met all criteria for the highest level of licensure as listed in W. Va. Code § 30-8-1, et. seq. and the rules of the Board.3.5. In the application the applicant shall state that he or she shall abide by the laws of this State regulating the practice of optometry and by the rules adopted by the Board.3.6. The application shall be subscribed by the applicant and sworn by him or her. His or her signature shall be witnessed and notarized by a notary public.3.7. The Board shall deny the right to licensure by reciprocity to any applicant furnishing false information in the application, or if the applicant has been licensed before it is made known to the Board of the falseness of the information, the license is subject to suspension, revocation or cancellation.3.8. The applicant shall pay the fee established by the Board's rule, Schedule of Fees, W. Va. Code of State Rules, §14CSR5.3.9. The board may require an applicant to interview with the board.