The Employment Verification (Temporary Permit Applicant) form is a certification, issued by the New Mexico Regulation and Licensing Department (RLD), in which an employer confirms that a Respiratory Care Program student extern is currently employed as a respiratory therapy trainee. The employer completes it, and the student extern submits it with the application for a temporary permit under the Respiratory Care Act. On FillingPDF you can fill out the form online and download or print the completed PDF; the official PDF is published by the RLD at rld.nm.gov.
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What is Employment Verification – New Mexico?
The Employment Verification form, subtitled Temporary Permit Applicant, is the New Mexico Regulation and Licensing Department (RLD) form on which an employer certifies that a Respiratory Care Program student extern is currently employed as a respiratory therapy trainee and will work under supervision.
The printed certification says the named person is currently employed by the named employer as a Respiratory Therapy trainee. It adds that the trainee will perform respiratory care duties under the direct training supervision of a New Mexico licensed Respiratory Care Practitioner once the RLD issues a temporary permit. The employer signs and dates it and gives a phone number, an NMRCP license number, and the employer's name and address, including city, state and ZIP code.
The form belongs to the application for a temporary permit provided under the Respiratory Care Act. It is issued through the RLD's Boards and Commissions Division and the Advisory Board of Respiratory Practitioners, and the RLD lists it among the forms on its Respiratory Care licensing, registration and renewal page. It is a statement from the employer, not an application: it does not request a permit by itself and is not a general-purpose employment verification letter.
Who needs to file Employment Verification – New Mexico?
The form is completed by the employer, meaning the Human Resources Department or the Respiratory Care Department Supervisor, as the form states. It is then submitted by the Respiratory Care Program student extern applicant together with his or her application for a temporary permit under the Respiratory Care Act.
- Employers (Human Resources or the Respiratory Care Department Supervisor): complete and sign the certification for the student extern they employ as a respiratory therapy trainee.
- Respiratory Care Program student extern applicants: obtain the completed form from the employer and submit it with the temporary permit application.
The form is written only for student extern applicants for a temporary permit. It does not describe other kinds of applicants or other permits, so check the RLD's Respiratory Care licensing page if your situation differs.
When to file Employment Verification – New Mexico
The form is submitted whenever a Respiratory Care Program student extern files an application for a temporary permit, because it travels with that application. No separate due date is printed on it. Because the employer certifies that the applicant is currently employed as a respiratory therapy trainee, have the employer complete it while that employment is in place and before you assemble the temporary permit application. For any deadline or processing time that applies to the temporary permit application itself, contact the RLD Boards and Commissions Division.
Documents you need
- The application for a temporary permit under the Respiratory Care Act: the student extern applicant submits this form together with it.
How to fill out Employment Verification – New Mexico
Confirm the employer completes it
The certification is for the Human Resources Department or the Respiratory Care Department Supervisor to complete. The student extern applicant only submits it afterward.
Enter the certifying person's name
In the sentence beginning "I, ____, hereby certify," type or print the name of the employer representative making the certification.
Enter the applicant's name
In the blank after "certify that," write the name of the student extern who is currently employed.
Enter the employer's name
In the blank after "is currently employed by," write the name of the employer. The form describes the employee as a Respiratory Therapy trainee.
Read the supervision statement
The certification states that the trainee will perform respiratory care duties under the direct training supervision of a New Mexico licensed Respiratory Care Practitioner after receiving a temporary permit. Complete the form only if this is accurate.
Sign and date the form
The employer representative writes a signature and the date on the lines marked Signature and Date.
Add phone and NMRCP license number
Enter the phone number with area code on the Phone line and the number on the NMRCP License # line.
Enter employer name and address
Under Employer Name & Address, write the employer's name and street address. On the City, State, Zip line, add the city, state and ZIP code.
Review and download the completed PDF
Check that every line is complete and legible, since the form asks for black ink if printed. Download or print the completed PDF from FillingPDF and give it to the applicant to submit with the temporary permit application.
How to submit Employment Verification – New Mexico
The form has no filing channel of its own: the student extern applicant submits it with the application for a temporary permit.
- With the temporary permit application: attach the completed and signed form to the application, as the form directs. The RLD's Respiratory Care licensing page describes an online licensing system (NM PLUS) for Respiratory Care applications, and the form itself names no separate channel.
- Division contact printed on the form: Boards and Commissions Division | Advisory Board of Respiratory Practitioners, P.O. Box 25101 | 2550 Cerrillos Road | Santa Fe, NM 87504, telephone (505) 476-4622. Call this number to confirm how the temporary permit application should be delivered.
The form asks you to type or print clearly in black ink, so make sure a printed copy is legible. FillingPDF lets you fill out and download the PDF; submission follows the RLD's channels above.
Common mistakes to avoid
- Having the applicant complete the certification instead of the employer; the form says the employer (Human Resources or the Respiratory Care Department Supervisor) completes it.
- Filling it out in a color other than black or with unclear handwriting; the form says to type or print clearly in black ink.
- Submitting the form alone; it is meant to be submitted with the application for a temporary permit.
- Using it for someone who is not a Respiratory Care Program student extern; the form is for student extern applicants for a temporary permit.
- Certifying a person who is not currently employed as a respiratory therapy trainee, since the statement reads that the person is currently employed.
- Leaving the signature, date, phone number or NMRCP License # blank on the employer's block.
- Omitting the employer's name and address, or the city, state and ZIP code line.
Frequently asked questions
What is the Employment Verification form for a temporary permit?
It is a New Mexico Regulation and Licensing Department form on which an employer certifies that a Respiratory Care Program student extern is currently employed as a respiratory therapy trainee. The student submits it with the application for a temporary permit under the Respiratory Care Act.
Who fills out the Employment Verification form?
The employer does: the form says it is completed by the Human Resources Department or the Respiratory Care Department Supervisor. The student extern applicant then submits it with his or her application for a temporary permit.
Can I complete the Employment Verification form online?
Yes. You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is an independent service and does not submit the form to the RLD; the applicant submits it with the temporary permit application.
Where do I send the Employment Verification form?
The form names no separate address. The student extern submits it with the temporary permit application. The form lists the Boards and Commissions Division, P.O. Box 25101, 2550 Cerrillos Road, Santa Fe, NM 87504, and (505) 476-4622 for questions.
What does the employer certify on this form?
The employer certifies that the named person is currently employed as a Respiratory Therapy trainee and will perform respiratory care duties under the direct training supervision of a New Mexico licensed Respiratory Care Practitioner once a temporary permit is received.
Is there a deadline for the Employment Verification form?
No separate deadline is printed on it. It is submitted whenever the student extern files the temporary permit application, so the employer should complete it before then. Ask the RLD Boards and Commissions Division about deadlines for the application itself.
Do I need to use black ink on the form?
Yes, if you complete it by hand. The form says to type or print clearly in black ink. Completing the PDF online and printing it also keeps the entries legible.
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