Ariz. Admin. Code § 9-16-106

Current through Register Vol. 30, No. 50, December 13, 2024
Section R9-16-106 - Name Change; Duplicate License
A. To request a name change on a midwifery license or a duplicate midwifery license, a midwife shall submit in writing to the Department:
1. The midwife's name on the current midwifery license;
2. If applicable, the midwife's new name;
3. The midwife's address, license number, and e-mail address;
4. As applicable:
a. Documentation supporting the midwife's name change, or
b. A statement that the midwife is requesting a duplicate midwifery license; and
5. A non-refundable fee of $10.00.
B. Upon receipt of the written request required in subsection (A), the Department shall issue, as applicable:
1. An amended midwifery license that incorporates the name change but retains the expiration date of the midwifery license, or
2. A duplicate midwifery license.

Ariz. Admin. Code § R9-16-106

Adopted effective March 14, 1994 (Supp. 94-1). Section R9-16-106 renumbered to R9-16-108; new Section R9-16-106 made by exempt rulemaking at 19 A.A.R. 1805, effective July 1, 2013 (Supp. 13-2).