An applicant for initial licensure as a licensed clinical supervisor shall submit to the board’s office or otherwise arrange for the board’s office to receive:
- (a) A completed “Initial Licensed Clinical Supervisor Application Form” provided by the board and further described in Alc 316.02;
- (b) The additional materials described in Alc 316.04;
- (c) Payment of the of the applicable license fee described in Plc 1002.23; and
- (d) A criminal history records check form and fingerprint card or live scan document, seeking both a New Hampshire and a federal records check, in accordance with the procedure specified by the NH department of safety at Saf-C 5700, Operation of the Central Repository: Criminal Records, with the required fee. The fee for the criminal history records check shall be submitted using a separate payment.
Source. #12001, eff 10-13-16; ss by #13518, eff 3-13-23 (see Revision Note for chapter heading for Alc 300)