A certificate holder or licensee wishing to reinstate their certificate or license when the certificate or license has lapsed for non-renewal between 30 days and 5 years shall:

1. (a) Complete and submit:

   1. (1) The “Universal Application for License Renewal” required by Plc 308.05(b)(1); and

   2. (2) The “Reinstatement Addendum to the Universal Application for License Renewal” requiring the following:

      1. a. A list all names you have ever been known by; and
      2. b. A yes or no answer to “Have you practiced in New Hampshire in the profession you applying for on a paid or voluntary basis since your license ceased to be valid?”.
2. (b) Attach documentation of the applicable continuing education requirements described in Alc 409.01 – Alc 409.03, taken within the immediate 2 years prior to the date of reinstatement applications described in (a) above for a total of one and one half hours of continuing education per month lapsed for CRSWs and 2 hours per month lapsed for LADCs and MLADCs;
3. (c) Submit a written statement that the reinstatement applicant has not practiced in the profession in New Hampshire on a volunteer or paid basis since the date their license ceased to be valid;

4. (d) Not have demonstrated poor moral character as evidenced by:

   1. (1) The answers to the "yes-no" questions on the “ Universal Application for License Renewal” described in Alc 414.01(a)(1); and
   2. (2) Any documents giving detailed reports of the relevant circumstances related to the yes or no questions on the “Universal Application for License Renewal”;
5. (e) Submit the criminal background check described in Plc 304.01(b); and
6. (f) Pay the license renewal fee required by Plc 1002.03 and professional health program fee required by Plc 1001.08.

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