Ariz. Admin. Code § 9-17-405

Current through Register Vol. 30, No. 50, December 13, 2024

Section R9-17-405 - Submitting an Application for a Laboratory Agent Registry Identification Card

To obtain a laboratory agent registry identification card for an individual serving as an owner for the laboratory, employed by the laboratory, or providing volunteer services at or on behalf of the laboratory, the owner shall submit to the Department the following for each laboratory agent:

1. An application in a Department-provided format that includes:

a. The laboratory agent's first name; middle initial, if applicable; last name; and suffix, if applicable;

b. The laboratory agent's residence address and Arizona mailing address;

c. The county where the laboratory agent resides;

d. The laboratory agent's date of birth;

e. The identifying number on the applicable card or document in subsection (4)(a) through (e);

f. The name and registry identification number of the laboratory; and

g. The signature of the individual in R9-17-402(A)(1)(c) designated to submit laboratory agent applications on the laboratory's behalf and the date the individual signed;

2. An attestation signed and dated by the laboratory agent that the laboratory agent:

a. Either:

i. Has not been convicted of an excluded felony offense as defined in A.R.S. § 36-2801, or

ii. Is deemed to not have been convicted of an excluded felony offense through holding a valid level I fingerprint clearance card issued according to A.R.S. § 41-1758.07; and

b. Will not test medical marijuana and medical marijuana products for:

i. A dispensary, related medical marijuana business entity, or management company that the laboratory agent has a direct or indirect familial or financial relationship with or interest in; or

ii. A designated caregiver who the laboratory has a direct or indirect familial or financial relationship with;

3. A statement in a Department-provided format, signed by the laboratory agent, pledging not to divert marijuana to any individual who or entity that is not allowed to possess marijuana pursuant to A.R.S. Title 36, Chapter 28.1;

4. A copy of the laboratory agent's:

a. Arizona driver's license issued on or after October 1, 1996;

b. Arizona identification card issued on or after October 1, 1996;

c. Arizona registry identification card;

d. Photograph page in the laboratory agent's U.S. passport or a U.S. passport card; or

e. Arizona driver's license or identification card issued before October 1, 1996 and one of the following for the laboratory agent:

i. Birth certificate verifying U.S. citizenship,

ii. U.S. Certificate of Naturalization, or

iii. U.S. Certificate of Citizenship;

5. A current photograph of the laboratory agent;

6. For the Department's criminal records check authorized in A.R.S. §§ 36-2804.01 and 36-2804.07:

a. The laboratory agent's fingerprints on a fingerprint card that includes:

i. The laboratory agent's first name; middle initial, if applicable; and last name;

ii. The laboratory agent's signature;

iii. If different from the laboratory agent, the signature of the individual physically rolling the laboratory agent's fingerprints;

iv. The laboratory agent's address;

v. If applicable, the laboratory agent's surname before marriage and any names previously used by the laboratory agent;

vi. The laboratory agent's date of birth;

vii. The laboratory agent's Social Security number;

viii. The laboratory agent's citizenship status;

ix. The laboratory agent's gender;

x. The laboratory agent's race;

xi. The laboratory agent's height;

xii. The laboratory agent's weight;

xiii. The laboratory agent's hair color;

xiv. The laboratory agent's eye color; and

xv. The laboratory agent's place of birth;

b. If the laboratory agent's fingerprints and information required in subsection (6)(a) were submitted to the Department within the previous six months as part of an application for a designated caregiver registry identification card, a dispensary agent registry identification card, or a laboratory agent registry identification card, the registry identification number on the registry identification card issued to the laboratory agent as a result of the application; or

c. Documentation that the laboratory agent has a valid level I fingerprint clearance card issued according to A.R.S. § 41-1758.07; and

7. The applicable fee in R9-17-102 for applying for a laboratory agent registry identification card.

Ariz. Admin. Code § R9-17-405

Adopted by final exempt rulemaking at 25 A.A.R. 2421, effective 8/27/2019. Amended by final rulemaking at 29 A.A.R. 2396, effective 10/1/2023.