A license suspended for failure to renew, or suspended or revoked by virtue of disciplinary action by the Department may be reinstated upon application to the Department, which application shall include:

1. (1) All information required for initial licensure as specified in rule 61-19.003, F.A.C., insofar as such information differs from the initial application.
2. (2) A complete statement of the factual circumstances leading to the suspension or revocation and the showing that such circumstances will not recur.
3. (3) Payment of the current biennial renewal fee and the additional reinstatement fee as specified in rule 61-19.005, F.A.C.

Rulemaking Authority 468.402(3) FS. Law Implemented 455.203(10), 455.213(1), (2), 468.402, 468.403, 468.404(1), 468.405(1) FS. History–New 7-27-87, Formerly 21-19.007.