Section R13-6-201. Application for an Agency License  


Latest version.

All data is extracted from pdf, click here to view the pdf.

  • A.      The individual who will be the qualifying party of an agency shall submit an application for an agency license. The qualify- ing party shall ensure that the application consists of:

    1.        A complete application form that provides the following information about the applicant:

    a.         Full name;

    b.        Home address;

    c.         Mailing address if different from the home address;

    d.        Home and business telephone numbers;

    e.         Height, weight, hair and eye colors, sex, and date and place of birth;

    f.         Social Security number; and

    g.        Any other name by which the applicant has ever been known;

    2.        Properly completed fingerprint card with classifiable fin- gerprints of the qualifying party;

    3.        Fees prescribed in R13-6-103;

    4.        Legible, notarized copy of a government-issued photo identification document for the qualifying party, such as a state identification card or motor vehicle driver license;

    5.        Two color photographs of the qualifying party suitable for use in making an identification card such as passport photos or 1” x 1 1/4” facial photos;

    6.        Exact details as to the character and nature of the qualify- ing party’s required experience under A.R.S. § 32-2612;

    7.        Proof of U.S. citizenship or legal resident status with authorization to seek employment by providing one docu- ment from List A on U.S. Department of Justice Form I-9 or one document from both Lists B and C. The Depart- ment shall return original documents to the applicant;

    8.        The following information about the agency:

    a.         The name under which the agency will do business and if required under R13-6-207, a copy of the trade name registration provided by the Arizona Secretary of State’s Office;

    b.        The principal business address;

    c.         The principal business mailing address if different from the principal business address; and

    d.        A brief statement describing the nature of the busi- ness in which the agency will engage;

    9.        If the business form is not a sole proprietorship:

    a.         Partnership agreement, articles of organization, or articles of incorporation; and

    b.        From each partner, officer, director, and member of the agency, an application for registration certificate as described in R13-6-301;

    10.     If the agency is a foreign corporation, evidence of Ari- zona Corporation Commission approval to transact busi- ness in Arizona;

    11.     If the agency will maintain a branch office, the notice required under R13-6-204 to obtain a branch office certif- icate; and

    12.     The following information required for approval of uni- forms, badges, patches, and insignia under A.R.S. § 32- 2635:

    a.         Color photographs showing the front, back, and both sides of all uniforms;

    b.        A full-size color copy or example of the agency patch;

    c.         A full-size color copy of the agency badge or, if no badge will be used, a written statement of this fact;

    d.        Color photographs showing the front, back, and both sides of agency vehicles;

    e.         Close-up color photograph of insignia on agency vehicles; and

    f.         Color photographs showing the front and back of any light bar on agency vehicles.

    B.       The applicant shall sign the completed application form before a notary public, authorize the Department to obtain informa- tion about the applicant from any person or entity, and certify that all information provided is true and correct.

    C.      If an agency will have a resident manager, the resident man- ager shall use the application form described under this Sec- tion and provide the information required under subsections (A)(1) through (A)(7).

Historical Note

New Section made by final rulemaking at 12 A.A.R. 2825, effective September 9, 2006 (Supp. 06-3).