760 IAC 4-3-2 - Certification and registration application
Authority: IC 27-19-1-4
Affected: IC 27-19-1-4; IC 27-19-4-1
Sec. 2.
(a) An
application for navigator certification or application organization
registration shall be completed on a form prescribed by the commissioner in
consultation with the secretary.
(b) An individual applying for navigator
certification and an individual applying for application organization
registration on behalf of an entity must declare under penalty of denial,
suspension, or revocation of the certification or registration that the
statements made in the application are true, correct, and complete to the best
of the individual's knowledge and belief.
(c) All individuals applying for navigator
certification shall submit a criminal background check to the department, in a
manner determined [sic, by the] commissioner in consultation
with the secretary, by either of the following two (2) methods:
(1) The associated application organization
performs the criminal background check of the navigator and submits the
background check results to the department.
(2) The applicant obtains the criminal
background check and submits the criminal background check results to the
department.
The criminal background check shall be dated no more than thirty (30) days prior to the application submission date.
(d) An entity applying for
application organization registration that has more than one (1) physical
location shall submit a list to the department, in a manner determined by the
commissioner in consultation with the secretary, of each of the following for
each location:
(1) Name of location.
(2) Address.
(3) Public telephone.
(4) Public e-mail (if applicable).
(5) Public website (if applicable).
(6) Name of main contact person.
The department may make such information available to the public in a manner determined by the commissioner in consultation with the secretary.
Notes
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