Application by a duly licensed podiatrist of the State of New York to practice or for rerating under the Workers' Compensation Law shall be made upon a form furnished by the chair which shall be filed with the Podiatry Practice Committee, Health Provider Administration, 100 Broadway-Menands, Albany, NY 12241. Such application shall state, fully and truthfully, all the information required by law and the applicant shall make and sign the statutory agreement. The chair will notify the podiatrist of approval of his or her application within 60 days after receipt by the chair of a recommendation for approval from the Podiatry Practice Committee.