1. (a) The department shall provide a replacement license or certification for a license or certification that has been lost, destroyed, or stolen, provided the license or certification holder submits a request to the department by mail, hand delivery, or electronic means, on the “Request for Replacement License or Certification” form NHDES-A-01-027 dated January 1, 2026, available at https://onlineforms.nh.gov/?FormTag=NHDES-A-01-027 or via the department’s website at www.des.nh.gov, that is:

   1. (1) Signed by the license or certification holder certifying that all information contained in the request is true, complete, and not misleading to the best of the knowledge and belief of the signer; and
   2. (2) Accompanied by the appropriate application fee as set forth in Env-A 1815.09(b)(8).

2. (b) The license or certification holder shall include the following on or attached to the form required by (a), above:

   1. (1) The type of license or certification to be replaced;
   2. (2) The license or certification holder’s first name, middle initial, and last name;
   3. (3) The license or certification holder’s date of birth;
   4. (4) Number of the license or certification to be replaced;
   5. (5) Mailing address to which the replacement license or certification will be mailed;
   6. (6) The reason for the requested replacement, such as lost, destroyed, stolen, or other, with an explanation; and
   7. (7) The license or certification holder’s signature, printed name, and date.
3. (c) If the license or certification holder finds a license or certification that has been replaced pursuant to (a), above, the license or certificate holder shall return the original license or certification to the department.

Source. (See Revision Note #1, Revision Note #2, and Revision Note #3 at chapter heading for Env-A 1800) #14104, eff 11-1-24; ss by #14467, eff 1-1-26, EXPIRES: 1-1-36