21 NCAC 54 .2103. REINSTATEMENT

(a)  The information required for each applicant requesting reinstatement of licensure within 30 days after a license has been suspended due to non‑renewal shall consist of:

(1)           completed renewal application form;

(2)           documentation of having completed a minimum of 18 continuing education hours as specified in Rule .2104 of this Section during the two years preceding the date of application for reinstatement of licensure;

(3)           completed supervision report form, if applicable; and

(4)           payment of the renewal and reinstatement fees.

The information listed in this Paragraph shall be filed in the Board office within 30 days after a license has been suspended due to non-renewal.

(b)  The information required for each applicant requesting reinstatement of licensure after a license has been suspended for more than 30 days due to non‑renewal or after a license has been voluntarily relinquished with the Board's consent shall consist of:

(1)           typed or legibly printed, notarized application form and supervision contract form;

(2)           signed consent form, completed Fingerprint Record Card, and other such form(s) or information as required by the North Carolina Department of Justice to perform a criminal history record check;

(3)           payment of fee required by the North Carolina Department of Justice to perform a criminal history record check;

(4)           documentation of having completed a minimum of 18 continuing education hours as specified in Rule .2104 of this Section during the two years preceding the date of application for reinstatement of licensure;

(5)           completed information forms from present and past supervisors;

(6)           three completed reference forms from professionals who are familiar with the applicant's current work, one of which shall be from a doctoral level psychologist;

(7)           written verification and report on the status of any occupational licensure, including dates of licensure and any disciplinary action which is pending or has been taken, sent directly to the Board from any other regulatory agency in North Carolina and any other jurisdiction in which the applicant has applied for a license, is currently licensed, or previously was licensed, if applicable;

(8)           official graduate college transcripts, not on file in the Board's office, sent directly to the Board by the training institution(s); and

(9)           payment of the renewal and reinstatement fees within 30 days after receiving notification from the Board that reinstatement of licensure has been approved.

(c)  An application shall contain all requested materials to be complete.  An incomplete application shall be active for three months from the date of application.  At the end of such time, if still incomplete, the application shall be void, and the applicant shall be deemed to have discontinued the application process.  If the individual chooses to pursue licensure at a later date, the individual shall totally reapply.

(d)  To be considered to have made application for reinstatement of licensure pursuant to G.S. 90-270.5(a), the information specified in Subparagraphs (b)(1) through (b)(4) of this Rule shall be filed in the Board office within 30 days of offering to practice or undertaking the practice of psychology in North Carolina.

(e)  Reexamination may be required for reinstatement.

 

History Note:        Authority G.S. 90‑270.9; 90-270.14(a)(2); 90‑270.15(f),(h); 90-270.22(a);

Eff. August 1, 1984;

Amended Eff. March 1, 2008; May 1, 1996; November 1, 1991; March 1, 1989.