1. (a) The individual who has been authorized by the organization to submit a request under Env-Wt 905.11, Env-Wt 905.14, or Env-Wt 905.16 or to submit information under Env-Wt 905.15 shall:

   1. (1) Sign and date the document containing the required information; and
   2. (2) Print or type his or her name and title on the document.

2. (b) The signature provided pursuant to (a), above, shall constitute certification by the signer that:

   1. (1) The signer has been duly authorized by the organization to submit the request to the department;
   2. (2) The information contained in or otherwise submitted with the request is true, complete, and not misleading to the best of the signer’s knowledge and belief; and

   3. (3) The signer, on behalf of the organization, understands that:

      1. a. The submission of false, incomplete, or misleading information constitutes grounds for the department to deny the request or to revoke any decision that is made based on the information; and
      2. b. The signer and the organization are subject to the penalties specified in New Hampshire law for falsification in official matters, currently RSA 641.

Source. #12809, eff 12-15-19