12 Alaska Admin. Code § 77.110

Current through October 17, 2024

Section 12 AAC 77.110 - Application for license by credentials

An applicant for a behavior analyst or an assistant behavior analyst license by credentials must submit

(1) a completed application on a form provided by the department; the completed application must include

(A) the personal identification information requested on the form;

(B) information on the applicant's physical and mental health related to the grounds for license refusal, suspension, or revocation in AS 08.15.050;

(C) information on any criminal convictions related to the grounds for license refusal, suspension, or revocation in AS 08.15.050; and

(D) the applicant's fingerprint information described in 12 AAC 77.120(a);

(2) the application fee, the fingerprint processing fee, and the license fee specified in 12 AAC 02.390;

(3) verification of a current license in another state on a form provided by the department; and

(4) proof of current certification as required in AS 08.15.020(a)(4) or (b)(4) as applicable.

12 AAC 77.110

Eff. 12/26/2014, Register 212, January 2015

Authority:AS 08.15.020

AS 08.15.080