(1) Previously held certificates, licenses, and/or permits to practice that have been revoked or terminated for disciplinary action or failure to renew may be reissued providing the following requirements are met:

(a) board receipt of completed application and payment of the appropriate fee;

(b) board receipt of a written petition stating the reasons for requesting reissuance and outlining employment since certificate, license, or permit was revoked or terminated;

(c) board receipt of satisfactory evidence that the applicant has complied with the continuing education requirements of the board under ARM 24.201.2106 if applying for a permit to practice; and

(d) board receipt of verification from the licensing body of all jurisdictions where the licensee is licensed or has practiced that the applicant is in good standing and has not had any disciplinary actions taken against the applicant's license, or if the applicant is not in good standing in that jurisdiction, an explanation of the nature of the violation(s) resulting in that status, including the extent of the disciplinary treatment imposed.