LAC 46:XLV.2717. Application Procedure

A. Application for licensure or provisional licensure shall be made in a format approved by the board. B. Applications and instructions may be obtained from the board's web page or by personal or written request to the board. C. An application under this Chapter shall include: 1. proof documented in a form satisfactory to the board that the applicant possesses the qualifications set forth in this Chapter; 2. one recent photograph of the applicant; 3. certification of the truthfulness and authenticity of all information, representations and documents contained in or submitted with the completed application; 4. criminal history record information; 5. payment of the applicable fee as provided in Chapter 1 of these rules; and 6. such other information and documentation as the board may require. D. An applicant for a provisional license shall, in addition, cause written verification of a supervising licensed perfusionist's agreement to provide supervision and direction to be submitted in a format and manner prescribed by the board. E. All documents required to be submitted to the board must be the original thereof. For good cause shown, the board may waive or modify this requirement. F. The board may reject or refuse to consider any application which is not complete in every detail, including submission of every document or item required by the application. The board may, at its discretion, require a more detailed or complete response to any request for information set forth in the application as a condition to consideration of an application.