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(a) To be added to the administrator's rehabilitation specialists' list under 8 AAC 45.400, a person who qualifies under 8 AAC 45.410(a) must file a completed application that includes
(1) a signed statement listing the person's name and primary business address; the name, address, and telephone number of the firm at which the person works, if any; and the geographic areas in which the person is willing to provide services;
(2) proof of current certification as
(A) a certified insurance rehabilitation specialist or certified rehabilitation counselor, as those terms are defined in 8 AAC 45.415;
(B) a certified disability management specialist who is certified as required by 8 AAC 45.415(3) (B);
(3) a certificate of workers' compensation insurance if the person has employees; the certificate of insurance must provide for 30-day prior notice to the board of cancellation, nonrenewal, or material change of the policy; and
(4) a resume stating the person's education, training, work experience, and the names and addresses of the professional organizations that have certified the person or in which the person is an active member.
(b) Names will be added to the geographical listing in order of the receipt date of the completed application. If more than one completed application is received in a day, the names for that day will be placed on the list in alphabetical order. If a person's name is not added to the list, the administrator will notify the person and state in writing the reason for exclusion. Reasons for exclusion include an incomplete or illegible application or accompanying documents, or not meeting the requirements of AS 23.30.041 (p).
History: Eff. 7/1/88, Register 107; am 7/20/97, Register 143; am 7/2/98, Register 146
Authority: AS 23.30.005
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Last modified 7/05/2006