20:46:04:01.  Information required. Evidence of qualification for licensure must be based on information given on the application form; the examination, if required; fees as required in this chapter; and on any additional information the board considers necessary for clarification of submitted material.

          All persons seeking hearing aid dispensing licensure must include with the application the following information:

          (1)  Type of annual license;

          (2)  Name, address, phone number, and date of birth of the applicant;

          (3)  Name of employer, address, and phone number;

          (4)  Name of supervisor; and

          (5)  Employment record for the previous five years.

          Source: 24 SDR 33, effective September 22, 1997.

          General Authority:SDCL 36-24-46.

          Law Implemented:SDCL 36-24-17.1.