<html> <head> <title>Rule 20:41:05:04 Attachments and other information in connection with application.</title> <META NAME="Keywords" Content="Administrative Rules 20:41:05:04"> <META NAME="Description" Content="Administrative Rules 20:41:05:04 Attachments and other information in connection with application."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 15 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 3 2 4;} @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; font-size:10.0pt; font-family:"Times",serif;} a:link, span.MsoHyperlink {color:blue; text-decoration:underline;} a:visited, span.MsoHyperlinkFollowed {color:purple; text-decoration:underline;} .MsoChpDefault {font-size:10.0pt;} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.25in 1.0in 1.25in;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US link=blue vlink=purple> <div class=WordSection1> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>20:41:05:04.&nbsp;&nbsp;Attachments and other information in connection with application.</b> Each applicant shall attach the following to the application:</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (1)&nbsp;&nbsp;The license fee of $300 made payable to the board, all but $100 of which is refundable if license is not issued;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (2)&nbsp;&nbsp;An original unretouched photograph taken within six months preceding the date of application, which shows head and shoulders, front view, and is two inches by two inches;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (3)&nbsp;&nbsp;A </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>verified</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> copy of the applicant's college diploma and grades;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (4)&nbsp;&nbsp;Certification required by SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-5-9">36-5-9</A>;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (5)&nbsp;&nbsp;A </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>verified</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> copy of the applicant's National Board of Chiropractic Examiners diploma and grades; and</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (6)&nbsp;&nbsp;The agreement of the applicant to keep the board fully advised of the applicant's address and to give such assistance as the law may require to aid in the prosecution of violations of the laws of South Dakota pertaining to the practice of chiropractic.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; All materials required by this section must be</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> received</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> in the </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>board</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> office </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>at least</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> 15 days before the examination date.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 1 SDR 24, effective August 28, 1974; 2 SDR 63, effective April 12, 1976; 7 SDR 95, effective April 13, 1981; 12 SDR 151, 12 SDR 155, effective July 1, 1986; last sentence pertaining to examination subjects transferred to &#167;&nbsp;20:41:05:09, 13 SDR 85, effective January 4, 1987; 19 SDR 121, effective February 21, 1993; 28 SDR 88, effective December 23, 2001; 29 SDR 34, effective September 19, 2002; 32 SDR 32, effective August 31, 2005; 47 SDR 41, effective October 12, 2020.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-5-4">36-5-4</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-5-11">36-5-11</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-5-12">36-5-12</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-5-14.2">36-5-14.2</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-5-16">36-5-16.</A></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-5-4">36-5-4</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-5-10">36-5-10</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-5-11">36-5-11</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-5-12">36-5-12</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-5-15.2">36-5-15.2(4)</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-5-16">36-5-16.</A></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> </div> </body> </html>