1. (a) Inactive status may be obtained by a licensee or certificate holder who:

   1. (1) Holds a current license or certificate with the OPLC;
   2. (2) Has no disciplinary action or pending disciplinary action;
   3. (3) No longer actively engages in practice in New Hampshire;

   4. (4) Completes and submits a letter of request containing the following information:

      1. a. The licensee’s name as it appears on the license;
      2. b. The licensee’s license number;
      3. c. A statement requesting the active license be placed on inactive status; and
      4. d. The licensee’s signature and date of signing; and
   5. (5) Pays the inactive status fee required by Plc 1002.03 and the professional health program fee required by Plc 1001.08 biennially.
2. (b) A licensee or certificate holder granted inactive status shall renew or reinstate their inactive license and pay the appropriate fee required by Plc 1002.03 and the professional health program fee required by Plc 1001.08 on or before the date their license would otherwise lapse.

3. (c) Licensees or certificate holders wishing to maintain inactive status shall complete and submit:

   1. (1) The “Universal Application for License Renewal” required by Plc 308.05(b)(1); and
   2. (2) The “Inactive Status Addendum to the Universal Application for License Renewal” requiring a list all names the applicant has ever been known by;
4. (d) Licensees or certificate holders in any reserve component of the armed forces of the United States or the National Guard called to active duty, may request inactive license status. Such licensees or certificate holders shall not be required to pay the inactive license status fee required by Plc 1002.03 and the professional health program fee required by Plc 1001.08.

5. (e) Licensees or certificate holders wishing to reactivate their inactive license or certificate shall:

   1. (1) Complete and submit the “Reactivation of an Inactive License Application Form” by providing the following information:

      1. a. Applicant’s full legal name;

      2. b. Applicant’s home physical address;

         c Applicant’s home mailing address;

      3. d. Applicant’s e-mail address;
      4. e. Applicant’s license number; and
      5. f. Answers to the questions Plc 304.03(e);
   2. (2) Sign and date the application described in (1) above in accordance with Plc 304.05;
   3. (3) Provide any documents giving detailed reports of the relevant circumstances related the yes or no questions on the “Reactivation of an Inactive License Application Form”;
   4. (4) Submit documentation of compliance of continuing education earned within the immediately preceding 2 years prior to the date the application was submitted; and
   5. (5) Pay the license reactivation fee required by Plc 1002.03 and the professional health program fee required by Plc 1001.08.

Source. #12548, eff 7-1-18; ss by #14045, eff 10-7-24