Ariz. Admin. Code § 9-16-503

Current through Register Vol. 30, No. 40, October 4, 2024
Section R9-16-503 - License Renewal
A. Before the expiration date of a speech-language pathologist assistant license, a licensee shall submit to the Department:
1. An application in a Department-provided format for renewal of a speech-language pathologist assistant license that contains:
a. The licensee's name, home address, telephone number, and e-mail address;
b. The licensee's current employment, if applicable, including:
i. The employer's name,
ii. The licensee's position,
iii. Dates of employment,
iv. The address of the employer,
v. The supervisor's name,
vi. The supervisor's e-mail address, and
vii. The supervisor's telephone number;
c. If applicable, the name of the licensee's supervising speech-language pathologist;
d. The licensee's license number and date of expiration;
e. Since the previous license application, whether the licensee has been convicted of a felony or a misdemeanor involving moral turpitude in this or another state;
f. If the licensee has been convicted of a felony or a misdemeanor:
i. The date of the conviction,
ii. The state or jurisdiction of the conviction,
iii. An explanation of the crime of which the licensee was convicted, and
iv. The disposition of the case;
g. Whether the licensee has had a license revoked or suspended by any state within the previous two years;
h. Whether the licensee is currently ineligible for licensure in any state because of a prior license revocation or suspension;
i. Whether the licensee agrees to allow the Department to submit supplemental requests for information under R9-16-506;
j. An attestation that the licensee has completed continuing education required under A.R.S. 36-1904 and this Article and documentation of completion is available upon request;
k. An attestation that the information required as part of the renewal application is true and accurate; and
l. The licensee's signature and date of signature;
2. If a license for a licensee has been revoked or suspended by any state within the previous that two years, documentation that includes:
a. The date of the revocation or suspension,
b. The state or jurisdiction of the revocation or suspension, and
c. An explanation of the revocation or suspension;
3. If the licensee is currently ineligible for licensure in any state because of a prior license revocation or suspension, documentation that includes:
a. The date of the ineligibility for licensure,
b. The state or jurisdiction of the ineligibility for licensure, and
c. An explanation of the ineligibility for licensure;

4. A renewal fee specified in R9-16-508.
B. According to A.R.S. § 36-1904, the Department shall allow a speech-language pathologist assistant to renew a license within 30 calendar days after the expiration date of the license by submitting to the Department:
1. The renewal application, including documentation required in subsection (A), and
2. Fees specified in R9-16-508.
C. An individual who does not submit a renewal application, documentation; and fees required in subsection (A) or (B), shall reapply for an initial license according to R9-16-502.

Ariz. Admin. Code § R9-16-503

New Section made by final rulemaking at 15 A.A.R. 2132, effective January 30, 2010 (Supp. 09-4). Amended by exempt rulemaking at 20 A.A.R. 1998, effective 7/1/2014. Amended by final expedited rulemaking at 26 A.A.R. 852, effective 4/8/2020.