1. (a) For an exemption due to temporary illness or injury, and pursuant to RSA 167:82, II, the NHEP participant shall provide a signed statement from a licensed physician, licensed physician assistant (PA), licensed advanced practice registered nurse (APRN), board-certified psychologist, master licensed alcohol and drug counselor (MLADC), licensed pastoral psychotherapist (LPP), licensed independent clinical social worker (LICSW), licensed clinical mental health counselor (LCMHC), or licensed marriage and family therapist (LMFT) explaining:

   1. (1) Why the individual is unable to participate in a NHEP activity;
   2. (2) The type of illness or injury; and
   3. (3) The length of time the illness or injury is expected to continue.

2. (b) For an exemption due to incapacity or disability, the individual shall provide a signed statement from a licensed physician, licensed PA, licensed APRN, board-certified psychologist, MLADC, LPP, LICSW, LCMHC, or LMFT, that explains:

   1. (1) Why the individual is unable to participate in a NHEP activity;
   2. (2) The type of incapacity; and
   3. (3) The permanent nature of the incapacity, unless the individual is eligible for FANF financial assistance on the basis of an incapacity or disability already documented.
3. (c) For an exemption due to school attendance, the individual shall provide a statement or other document from the school indicating full-time enrollment and attendance at an elementary, secondary, vocational, or technical school.

4. (d) For an exemption due to the illness or incapacity of another member of the assistance group, the individual shall provide a signed statement from a licensed physician, licensed PA, licensed APRN, board-certified psychologist, MLADC, LPP, LICSW, LCMHC, or LMFT, which includes:

   1. (1) An explanation of why the individual's presence is required in the home;
   2. (2) A description of the illness or incapacity of the assistance group member being cared for;
   3. (3) The expected date of recovery; and
   4. (4) Confirmation that no other member of the household is available or appropriate to provide the needed care.

Source. (See Revision Note #1 at Chapter Heading He-W 600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97; ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; paragraph (a) intro. amd by #8740, INTERIM, eff 10-13-06, EXPIRED: 4-11-07; paragraph (a) intro. amd by #8869, eff 4-19-07; ss by #10471, eff 11-26-13; ss by #12718, eff 1-26-19