105 CMR 803.210
Application for Certification
(1) Filing Procedure. An individual who desires to be certified as a Certified Health Officer and
who meets the standards and qualifications specified in 105 CMR 803.200 shall complete an
application on a form to be prescribed and furnished by the Department.
(2) Documentary Evidence. An application shall include proof of satisfactory completion of
the education, training, and experience to meet the requirements for certification and proof of
having passed such examination as approved or administered by the Department. The
application shall include an examination as specified in 105 CMR 803.220. Said application
form shall be filled out completely and shall be accompanied by the following:
(a) Official transcripts, or other official documentation satisfactory to the Department,
verifying that the applicant meets the educational requirements specified in 105 CMR
803.200; and
(b) Work affidavit signed by employer(s) and submitted on a form prescribed and provided
by the Department, or other written documentation satisfactory to the Department verifying
that the applicant meets the experience requirements specified in 105 CMR 803.200(1)(c),
if applicable; and
(c) A copy of the applicant’s government issued identification that includes that applicant’s
full name and photograph; and
(d) Any and all additional documentation which may be requested in writing by the
Department; and
803.210: continued
(e) The required certification fee set forth in 801 CMR 4.00: Rates. All fees submitted in
conjunction with an application for certification shall be non-refundable.
(3) Review of Applications. The Department shall notify an applicant in writing of any
deficiencies in their application and any additional information requested by the Department.
If the requested additional information is not received by the Department within 90 calendar days
from the date of said written notice, the application shall be considered denied by the
Department. An applicant or Certified Health Officer shall keep their up-to-date mailing address
on file with the Department.