(A) The employer of an applicant, or the employer's designee, shall provide written information directly to the board when attesting to the competence to perform dialysis care of an applicant who is applying for either a temporary certificate one to practice as a dialysis technician in accordance with division (A)(2) of section 4723.76 of the Revised Code, or a certificate to practice as an Ohio certified dialysis technician in accordance with division (B)(2)(b) of section 4723.75 of the Revised Code
(B) The information required by this rule shall be submitted on a form specified by the board and shall include the following:
(1) When the applicant is applying for a temporary certificate one, verification by the employer or the employer's designee, that a registered nurse or licensed physician observed the applicant perform dialysis care and attests that the applicant consistently performs dialysis care in accordance with the standards for the safe performance of dialysis care as set forth in section 4723.72 of the Revised Code and this chapter; or
(2) When an applicant is applying for a certificate to practice as an Ohio certified dialysis technician, a statement that the employer or the employer's designee, in good faith affirms that the applicant has the knowledge, skills, and ability to safely provide dialysis care as set forth in section 4723.72 of the Revised Code and this chapter.
(C) The employer or the employer's designee shall provide assurance that the verification or statement required by paragraph (B) of this rule has been sent directly to the board by the employer.