For each professional license or notary commission listed by the applicant pursuant to Rule .0701 of this Section, and for which the individual has been the subject of a disciplinary action by a court, legislative body, governmental agency, board, or commission, the individual shall include:

1. (1) the date of each disciplinary action;
2. (2) the disciplinary action taken;
3. (3) a copy of each disciplinary action;

4. (4) if not included in the copy of the disciplinary action provided:

   1. (a) the reason given for the disciplinary action;
   2. (b) an explanation of the circumstances that led to the disciplinary action; and
   3. (c) the name of the issuing entity;
5. (5) whether the disciplinary action included any corrective action or conditions on the license or commission;
6. (6) whether the individual has complied with the corrective actions or conditions;
7. (7) the date on which compliance with the corrective actions or conditions was satisfied;
8. (8) whether the individual would be eligible for relicensure or recommissioning; and
9. (9) other information that the individual wishes to include in order to aid the Department in assessing the individual's professional license and notary commission history.

History Note: Authority G.S. 10B-4; 10B-134.21; 10B-134.23;
Eff. March 1, 2025.