Applicants for nursing pool registration shall submit to the department of health:

(1) A completed application for registration on forms furnished by the department;

(2) A registration fee as established by the secretary;

(3) Evidence of professional or general liability insurance in accordance with WAC 246-845-080;

(4) A signed quality assurance standards affidavit, and documentation of methods used for compliance with the standards established in WAC 246-845-090;

(5) The Washington state corporation certification number or a copy of the "certificate of authority to do business in Washington" if the nursing pool is owned by a corporation.