Section 1399.413 - Application for Licensing Examination(a) All new applications for examination shall be complete and submitted to the Board, at its current physical address listed on its website or through the Board's online portal accessible through the Board's website accompanied by such statements and documents as required by this subsection. A completed application for examination shall include the application fee required by Section 1399.460 and all of the following information: (1) Applicant's full legal name (Last Name) (First Name) (Middle Name),(2) Other name(s) applicant has used or has been known by,(3) Applicant's physical address,(4) Applicant's mailing address, if different than the applicant's physical address. The mailing address may be a post office box number or other alternate address,(5) Email address, if any,(6) Applicant's telephone number,(7) Applicant's Social Security Number or Individual Taxpayer Identification Number, which is authorized to be collected pursuant to section 30 and 494.5 of the Code and Pub. L 94-455 (42 U.S.C.A. § 405(c)(2)(C)), and will be used exclusively for identification, tax enforcement purposes, or compliance with any judgment or order for family support in accordance with Section 17520 of the Family Code,(8) Applicant's birthdate (month, day, and year),(9) Examination language preference,(10) Whether the applicant has previously applied for the examination,(11) The following additional applicant-identifying information, to expedite the application process, if applicable:(A) Whether the applicant is serving, or has previously served, in the United States Armed Forces.(B) Whether the applicant is an honorably discharged member of the United States Armed Forces. If the applicant affirmatively states they meet this criterion, they shall provide the following documentation with the application to receive expedited review: a certificate of release or discharge from active duty (DD-214) or other documentary evidence showing date and type of discharge.(C) Whether the applicant is an active-duty member of a regular component of the United States Armed Forces enrolled in the United States Department of Defense SkillBridge program as authorized under Section 1143(e) of Title 10 of the United States Code.(D) Whether the applicant is married to or in a domestic partnership or other legal union with an active-duty member of the United States Armed Forces assigned to a duty station in California under official active-duty military orders. If the applicant affirmatively states they meet this criterion, they shall provide the following documentation along with the application to receive expedited review: certificate of marriage, certificate of domestic partnership, or proof of other legal union; a copy of the applicant's spouse's or partner's military orders reflecting assignment to a California duty station; and proof of being licensed to practice acupuncture in another state, or U.S. territory or district.(E) Whether the applicant was admitted to the United States as a refugee, has been granted asylum by the Secretary of Homeland Security or the Attorney General of the United States, or has a special immigrant visa (SIV). If the applicant affirmatively states they meet any of these criteria, they shall provide any of the following items of documentation, as applicable, with the application to receive expedited review: (i) Form I-94, arrival/departure record, with an admission class code such as "RE" (refugee) or "AY" (asylee) or other information designating the person a refugee or asylee,(ii) Special Immigrant Visa that includes the "SI" or "SQ",(iii) Permanent Resident Card (Form I-551), commonly known as a "green card", with a category designation indicating that the person was admitted as a refugee or asylee, or(iv) An order from a court of competent jurisdiction or other documentary evidence that provides reasonable assurances to the Board that the applicant qualifies for expedited licensure pursuant to section 135.4 of the Code.(12) For applicants who have completed an approved educational and training program(s) as defined in Section 4927.5 of the Code, provide:(A) the name and location of each school or college where acupuncture education and training were obtained, including any higher education, undergraduate education, and education for which transfer credit was later awarded by another acupuncture school or college, if applicable,(B) the dates of attendance for each approved educational and training program; and,(C) the documentation required by section 1399.416(a), provided to the Board in the manner prescribed by section 1399.411.(13) For foreign-trained applicants, provide: (A) a list of the name(s) and address(es) of schools where acupuncture or Asian medicine education was obtained,(B) the dates of attendance for each school,(C) certified transcripts from each school for each educational program completed and provided to the Board in the manner prescribed by section 1399.411; and,(D) the results of an evaluation of the applicant's education from a credential evaluation service provided directly to the Board by the service as prescribed by Section 1399.416.3.(14) For applicants who completed a tutorial program in the practice of an acupuncturist that is approved by the Board pursuant to section 1399.425, provide tutorial program start and completion date(s),(15) A list of any other acupuncture or healing arts license or certification in any jurisdiction, including any state, agency of the federal government or country, and providing the type of license, license number, date of issuance, and dates of practice; and,(16) A statement signed under penalty of perjury by the applicant that all statements made in the application are true and correct.(b) All applications for re-examination shall be complete and submitted to the Board at its current physical address listed on its website or through the Board's online portal accessible through the Board's website, accompanied by such statements and documents as required by subsection (c).(c) A completed application for re-examination includes the fee required by section 1399.460 and all of the following information:(1) Applicant's full legal name (Last Name) (First Name) (Middle Name),(2) Applicant's Examination ID Number,(3) Applicant's current mailing address, if different than previously supplied,(4) Applicant's email address, if any,(5) Applicant's telephone number,(6) Examination language preference; and,(7) A statement signed under penalty of perjury by the applicant that all statements made in the application are true and correct.Cal. Code Regs. Tit. 16, § 1399.413
Note: Authority cited: Section 4933, Business and Professions Code. Reference: Sections 27, 29.5, 30, 31, 114.5, 115.4, 115.5, 135.4, 494.5, 4938, 4939, 4940, 4941 and 4944, Business and Professions Code; and Section 7 of Public Law 93-579 (5 U.S.C. Section 552a note).
Note: Authority cited: Section 4933, Business and Professions Code. Reference: Sections 4938, 4940, 4941 and 4944, Business and Professions Code.
1. Amendment of NOTE filed 8-5-81; effective thirtieth day thereafter (Register 81, No. 32).
2. Amendment filed 10-14-83; effective thirtieth day thereafter (Register 83, No. 42).
3. Amendment filed 4-4-94; operative 5-4-94 (Register 94, No. 14).
4. Amendment of newly designated subsection (a), new subsections (b)-(d), and amendment of Note filed 3-19-96; operative 3-19-96 pursuant to Government Code section 11343.4(d) (Register 96, No. 12).
5. Amendment of subsections (a), (b) and (c) filed 7-29-98; operative 8-28-98 (Register 98, No. 31).
6. Change without regulatory effect amending section filed 2-17-99 pursuant to section 100, title 1, California Code of Regulations (Register 99, No. 8).
7. Change without regulatory effect amending section and Note filed 4-22-2022 pursuant to section 100, title 1, California Code of Regulations (Register 2022, No. 16).
8. Amendment of section heading, section and NOTE filed 7-11-2024; operative 10/1/2024 (Register 2024, No. 28).