New Hampshire § 328-I-6 - Section 328-I:6 Initial Registration; Application, Fees.

§ 328-I-6. Section 328-I:6 Initial Registration; Application, Fees.

I. The board may register any person who submits a completed application and pays the established fee. II. Completed applications shall include: (a) Payment of the non-refundable registration fee; (b) Reports of any pending criminal charges, criminal convictions, plea agreements in lieu of convictions, or complaints made to or dispositions made by licensing, certification, or registration boards. (c) A complete set of fingerprints and a criminal history record release form pursuant to RSA 328-I:7. (d) The applicant's work history over the last 10 years. III. All applications shall include at a minimum, the applicant's name, social security number, place and date of birth, place of employment in New Hampshire and the home address and shall be duly signed and verified. Applications shall be available for public inspection. IV. Upon approval of the application by the board, the applicant shall be registered as a medical technician for 2 years. Such registration shall take effect within 90 days after the filing of such completed application. V. Any medical technician who changes his or her name, place or status of employment in New Hampshire, or residence shall notify the board in writing within 30 days. For failure to report such a change within 30 days of such event, the board may suspend the medical technician's registration. VI. Once an application has been approved by the board, a temporary registration may be issued, pending receipt of the criminal records check and fingerprint information.