Section Mirt 403.03 - Reinstatement of Licenses Lapsed For More Than 12 Months(a) The board shall reinstate licenses lapsed for more than 12 months if the individual applying for reinstatement of his or her license: (1) Is of good professional character and reliability, as evidenced by: a. The answers to the questions on the "Application for Reinstatement of Licensure" form dated June 2020;b. Any reports submitted pursuant to (b)(3)a. below; and c. The criminal offender record report(s) required by (b)(3) e. below;(2) Hold a currently valid certificate from one of the organizations listed in Mirt 402.09(b); and(3) Have complied with the application procedures set forth in (b) below.(b) Application procedures for the reinstatement of licenses lapsed more than 12 months shall be: (1) Submission of the completed "Application for Reinstatement of Licensure" form dated June 2020;(2) Payment of the reinstatement fee set forth in Plc 1000; and(3) Submission of the following supporting materials: a. A detailed report of the relevant circumstances if any of the answers to the questions identified on the reinstatement application form as requiring such a report are in the affirmative;b. A photocopy of the applicant's national certification card, which shall be verified upon receipt;c. A resume presenting a chronologically organized account of the applicant's experience in their field for the prior 5 years;d. Unless the information sought is available only on a website, an official letter of verification sent directly to the board from every state which has issued the applicant a license or other authorization to practice medical imaging or radiation therapy since the lapse of the New Hampshire license, stating: 1. Whether the licensee or other authorization is or was, during its period of validity, in good standing; and2. Whether any disciplinary action was taken against the license or other authorization to practice;e. An original, not a photocopy, of a criminal offender record report issued by each state where the applicant has resided or been licensed within the past 6 years, provided that such state(s) will: 1. Send the report to the board; or2. To the applicant for forwarding to the board; andf. A written statement that the reinstatement applicant has not engaged in medical imaging or radiation therapy in New Hampshire on a volunteer or paid basis since the date that his or her license ceased to be valid.N.H. Admin. Code § Mirt 403.03
Derived from Volume XL Number 33, Filed August 13, 2020, Proposed by #13075, Effective 7/24/2020, Expires 7/24/2030.