N.H. Code Admin. R. Vet 401.01
(b) The application shall:
(2) Contain the following preprinted statement:
“I acknowledge that knowingly making a false statement on this application form is a misdemeanor under RSA 641:2, I. I certify that the information I have provided on all parts of the application form and in the documents that I have personally submitted or caused to be submitted to support my application is complete and accurate to the best of my knowledge and belief.
I also certify that I have read the statute and the rules of the Board and promise that, if I am licensed, I will abide by them. Based on the statute and rules governing the profession for which I am applying I have not committed any acts that would be grounds for disciplinary action in this or any other State.”
(c) The effect of the renewal applicant’s signature on the application form for renewal of license described in (a) above shall be:
(2) The applicant’s certification that:
Source. #1887, eff 12-14-81; ss by #2294, eff 2-1-83; ss by #2892, eff 10-26-84; ss by #5024, eff 12-4-90; ss by #6450, INTERIM, eff 2-8-97, EXPIRES: 6-8-97; ss by #6481, eff 3-29-97; ss by #7418, eff 12-21-00, EXPIRED: 12-21-08 New. #9464-B, eff 4-23-09, EXPIRED: 4-23-17 New. #12842, INTERIM, eff 8-1-19, EXPIRED: 1-28-20 New. #13557, eff 3-1-23