Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 9 - BUSINESS CREDENTIALS ISSUED UNDER THE UNIFORM CREDENTIALING ACT › Section 172-9-003 - INITIAL BUSINESS CREDENTIAL OR RENEWAL

Current through June 17, 2024
To obtain a credential to operate a business or to renew a
				  business credential, an individual must submit a complete application provided
				  by the Department and provide documentation demonstrating that the applicant
				  meets the credentialing requirements. A renewal application must be submitted
				  prior to the expiration date.
003.01
REQUIREMENTS AND DOCUMENTATION.
All applicants must
				meet minimum requirements for credentialing and submit documentary proof of
				same.
003.01(A)
CITIZENSHIP OR
				LAWFUL PRESENCE.
The owner, if the owner is a sole proprietor,
				must submit documentation that he or she meets the requirements set out in Neb.
				Rev. Stat. §§
										4-108
				through
				4-111.
003.01(B)
CONVICTION
				INFORMATION.
If the applicant is a sole proprietorship and if the
				owner has ever been convicted of a felony or misdemeanor in Nebraska or in
				another jurisdiction, submit:
(i) A copy of
				the court record related to all misdemeanor and felony convictions, that
				includes the statement of charges and final disposition, if the conviction(s)
				occurred in a state other than Nebraska;
(ii) An explanation of the events leading to
				the conviction (what, when, where, why) and a summary of actions that the
				applicant has taken to address the behaviors or actions related to the
				conviction; and
(iii) A letter from
				the applicant's probation officer addressing the terms and current status of
				the probation, if the applicant is currently on probation.
003.01(C)
DRUG OR ALCOHOL RELATED
				CONVICTIONS.
If the applicant is a sole proprietorship and if the
				owner has ever been convicted of a felony or misdemeanor in Nebraska or in
				another jurisdiction, to aid in the evaluation of an applicant's drug or
				alcohol related conviction(s), an applicant may submit evaluation and discharge
				summaries where drug or alcohol treatment was obtained or required.
003.01(D)
OTHER CREDENTIAL
				INFORMATION.
If the applicant is a sole proprietorship and the
				owner holds a credential in another jurisdiction and that credential has been
				disciplined, must provide the name of the jurisdiction, credential number, a
				list of any disciplinary actions taken against the owner's credential, and a
				copy of the disciplinary action(s), including charges and
				disposition.
003.01(E)
APPLICANT INFORMATION.
The applicant must provide the
				information set out in Neb. Rev. Stat. §
										38-130(2)
				 and the following:
(i) If the owner is a sole proprietor, the
				social security number (SSN) or Alien Registration Number (A#) of the owner.
				Some applicants may have both a social security number (SSN) and an Alien
				Registration Number (A#) and if so, the applicant must report both;
(ii) The name of the manager, if applicable;
				and
(iii) For initial application
				only, a statement that the applicant has not operated this business at this
				address in Nebraska before submitting the application; or if the applicant has
				operated before submitting the application, a statement of the number of days
				of operation.