An attestation, signed under pains and penalties of perjury, that the applicant has complied with all state tax laws pursuant to M.G.L. c. 62C, § 49A and child support laws pursuant to M.G.L. c. 119A, § 16(a). 4.08: Initial Dental Hygienist Licensure by Credentials The Board may grant a license by credentials, without further professional examination, to a dental hygienist currently licensed in another jurisdiction provided that the applicant is of good moral character, has met all of the eligibility requirements, and has submitted the following information and documentation to the Board: An accurate, complete and signed application, as specified by the Board for that purpose; Payment of a non-refundable licensing and application fee as determined by the Executive Office of Administration and Finance, unless waived in accordance with M.G.L. c. 112, §1B; An original transcript with the college seal statingindicating the degree granted and the date of issue from a CODA-accredited dental hygiene program or any Board-approved successor accrediting agency approved by the Board, or a letter including the college's seal which is signed by the appropriate authority and attestsing to the applicant's degree and date of graduation; A physician's statement that is the result ofmade after an examination, conducted within six monthsone year of the date of application, attesting to the health of the applicant and to any impairments which that may affect the ability of the applicant to practice dental hygieneistry; Proof satisfactory to the Board of a minimum of one year of practice in dental hygiene or dental hygiene education immediately preceding the application for licensure by credentials; Proof satisfactory to the Board that the applicant is currently licensed and in good standing in another jurisdiction based on successful completionpassing a Board-approved of an examination approved by the Board; Documentation of a passing score on each of the following examinations: Parts I and II of the American Dental Association National Board Examination for Dental Hygienists; and Massachusetts Dental Ethics and Jurisprudence Examination or any successor examination. Certified letters of standing from all jurisdictions in which the applicant has ever been issued a license to practice dental hygiene attesting to the standing of his or herthe applicant’s license including a report of any past or pending disciplinary action, or any pending complaints against the applicant;
An attestation, signed under pains and penalties of perjury, that the applicant has complied with all state tax laws pursuant to M.G.L. c. 62C, § 49A and child support laws pursuant to M.G.L. c. 119A, § 16(a). 4.08: Initial Dental Hygienist Licensure by Credentials The Board may grant a license by credentials, without further professional examination, to a dental hygienist currently licensed in another jurisdiction provided that the applicant is of good moral character, has met all of the eligibility requirements, and has submitted the following information and documentation to the Board: An accurate, complete and signed application, as specified by the Board for that purpose; Payment of a non-refundable licensing and application fee as determined by the Executive Office of Administration and Finance, unless waived in accordance with M.G.L. c. 112, §1B; An original transcript with the college seal statingindicating the degree granted and the date of issue from a CODA-accredited dental hygiene program or any Board-approved successor accrediting agency approved by the Board, or a letter including the college's seal which is signed by the appropriate authority and attestsing to the applicant's degree and date of graduation; A physician's statement that is the result ofmade after an examination, conducted within six monthsone year of the date of application, attesting to the health of the applicant and to any impairments which that may affect the ability of the applicant to practice dental hygieneistry; Proof satisfactory to the Board of a minimum of one year of practice in dental hygiene or dental hygiene education immediately preceding the application for licensure by credentials; Proof satisfactory to the Board that the applicant is currently licensed and in good standing in another jurisdiction based on successful completionpassing a Board-approved of an examination approved by the Board; Documentation of a passing score on each of the following examinations: Parts I and II of the American Dental Association National Board Examination for Dental Hygienists; and Massachusetts Dental Ethics and Jurisprudence Examination or any successor examination. Certified letters of standing from all jurisdictions in which the applicant has ever been issued a license to practice dental hygiene attesting to the standing of his or herthe applicant’s license including a report of any past or pending disciplinary action, or any pending complaints against the applicant;