1. (a) The applicant for an initial license, or the authorized individual on behalf of an entity, shall sign and date the application, provided that for applications that are submitted electronically, the act of submitting the application shall constitute the signature and the date of submittal shall be the date.

2. (b) The signature shall constitute the applicant’s attestation that:

   1. (1) The applicant is not under investigation by any professional licensing board and the applicant’s credentials have not been suspended or revoked by any professional licensing board, unless a written explanation of each such occurrence is being submitted with the application pursuant to Plc 304.04(a);
   2. (2) The information and documentation provided are true, complete, and not misleading to the best of the applicant’s knowledge and belief;
   3. (3) The applicant understands that providing false or misleading information constitutes grounds for denial, suspension, or revocation of a license; and
   4. (4) The applicant understands that knowingly providing false material information constitutes a misdemeanor under RSA 641:3 relative to falsification in official matters.

Source. (See Revision Note #1 at chapter heading for Plc 300) #13606, eff 5-1-23; ss by #13955, eff 5-3-24 (see Revision Note #2 at chapter heading for Plc 300)