1. (a) The board shall reinstate a certification lapsed no longer than 2 years if the reinstatement applicant submits to the board:

   1. (1) A completed, signed, dated and notarized reinstatement application form;
   2. (2) The supporting documents listed in (b) below; and
   3. (3) Payment of the reinstatement fee set forth in Ahp 301.02(a).

2. (b) The supporting documents shall be:

   1. (1) On a separate sheet, a detailed report of the relevant circumstances if any of the answers to the "yes-no" questions on the confidential part of the reinstatement application form, as described for license applications in Spe 303.02(g), is in the affirmative;
   2. (2) On a separate sheet, a detailed report of the relevant circumstances if any of the answers to the "yes-no" questions on the non-confidential part of the reinstatement application form, as described for license applications in Spe 303.02(j), is in the affirmative;
   3. (3) On a separate sheet, a statement that the reinstatement applicant has not volunteered or been employed in New Hampshire as a speech-language assistant since the date his or her certification lapsed;
   4. (4) If maintenance of continuing competence was incomplete on the date the certification lapsed, documents as further described in Spe 605 as proof of having completed the required maintenance of continuing competence; and

   5. (5) An original, not a photocopy, of a criminal offender record report:

      1. a. Issued by each state where the applicant has resided and/or been licensed within the past 6 years, providing that such state has sent the report:

         1. 1. To the board and the board has received the report; or
         2. 2. To the applicant for forwarding to the board, and the board has received the report;
      2. b. Covering the applicant under his or her name and any aliases; and
      3. c. Dated within the 6 months preceding the application for licensure;
   6. (6) A resume including a chronologically organized account of any paid or volunteer activities engaged in by the applicant during the immediately preceding 18 months; and
   7. (7) On a separate sheet, a statement that the reinstatement applicant has not practiced as a speech-language assistant in New Hampshire since the date the certificate lapsed.

Source. #9711, eff 5-8-10; ss by #10684, eff 10-4-14; ss by #11138, eff 7-9-16