44:71:02:01.  Application form and content. An application form provided by the department shall include the following:

          (1)  Name and address of the employing facility;

          (2)  Name and dated signature of a contact person;

          (3)  Name and address of eligible health professional, plus any degree held;

          (4)  Health professional's occupation and license or certification number;

          (5)  Health professional's start date at the employing facility; and

          (6)  Date when the vacancy filled by the health professional was created.

          Source: 39 SDR 9, effective July 30, 2012.

          General Authority: SDCL 34-12G-15.

          Law Implemented: SDCL 34-12G-15.

          44:71:02:02.  Acceptance of applications. The department shall accept an application for review if:

          (1)  The application is submitted by an employing facility and is in a form as provided by § 44:71:02:01;

          (2)  The application proposes to fill a budgeted health professional vacancy with a new employee; and

          (3)  The application is submitted within timeframes as provided in § 44:71:03:02.

          Source: 39 SDR 9, effective July 30, 2012.

          General Authority: SDCL 34-12G-15.

          Law Implemented: SDCL 34-12G-15.