1. (a) Each applicant for a license or certificate as a lead professional shall comply with the requirements of RSA 130-A, and submit the following to the department:

   1. (1) A completed “Lead License or Certification Application” (February 2025) provided by the department for the discipline of lead professional being applied for, certifying the following:

      “I certify that I have read, understand, and agree to comply with the New Hampshire Lead Poisoning Prevention Rules (He-P 1600) and the Lead Poisoning Prevention Statute (RSA 130-A). I further certify that all information contained herein, including any supplements attached, is true and correct to the best of my knowledge and belief. The parties agree that this Lead License or Certification Application may be executed electronically with electronic signatures, and the electronic signatures shall be valid and binding on both parties. Neither party will contest the enforceability of this Lead License or Certification Application on the basis that it was executed electronically.”;

   2. (2) The applicable licensing or certification fee(s) pursuant to He-P 1612.08(a), for the discipline of lead professional being applied for, paid by check or money order, in the exact amount of the fee(s) and made payable to the “Treasurer, State of New Hampshire”;
   3. (3) An original, current, clear photograph of the applicant, such as a passport photograph;
   4. (4) Photocopies of official academic transcripts or diplomas issued by the relevant educational institution or a GED, as required by He-P 1612.02;
   5. (5) A copy of the course completion certificate for the lead educational program completed in accordance with He-P 1611 for the discipline of lead professional being applied for;
   6. (6) With the exception of a lead abatement worker, documentation that the applicant has passed the proficiency examinations required by He-P 1612.04;
   7. (7) Documentation, including the name, address, telephone number, and email, if available, of a contact person(s) who can verify all work experience required by He-P 1612.02;
   8. (8) A list of all names, trade names, acronyms, and other identifiers used currently or in the past when performing lead hazard reduction activities, lead inspections, or risk assessments; and

   9. (9) A list of any pending or completed federal, state, or local enforcement actions against the applicant which resulted from lead hazard reduction activities, lead inspections, or risk assessments for the 10 years preceding submission of the application, including:

      1. a. Notices of warnings, violations, or administrative fines;
      2. b. Administrative orders or consent decrees;
      3. c. Notices of license or certification denial, suspension, or revocation; and
      4. d. Pending or completed civil or criminal actions involving the applicant.

2. (b) The applicant shall mail or hand-deliver the documents to:

   Department of Health and Human Services

   Division of Public Health Services

   Healthy Homes and Lead Poisoning Prevention Program

   29 Hazen Drive

   Concord, NH 03301

Source. #8932, eff 7-6-07; ss by #9986, eff 9-1-11, EXPIRED: 9-1-19 New. #13052, eff 6-11-20; ss by #14230, eff 4-2-25