No application shall be considered unless:

1. (a) It is submitted on the “Cost of Care Reimbursement Form for Municipalities”;
2. (b) In accordance with RSA 437-B:1, I, the payee is a municipality currently registered as a vendor with state treasurer and that is eligible for payment from state funds; and
3. (c) In accordance with RSA 437-B:1, III, criminal charges have been filed pursuant to RSA 644:8 or RSA 644:8-a in the case referenced on the “Cost of Care Reimbursement Form for Municipalities”.

Source. #13208, eff 6-1-2121 (see Revision Note at chapter heading for Agr 3500)