Section R4-12-206. Application for a Prearranged Funeral Salesperson Registration

An applicant for a prearranged funeral salesperson registration shall submit an application packet to the Board that contains the fee required by the Board, information required in A.R.S. § 32- 1391.14, and an application form that contains:

1.        The applicant’s telephone number and social security number;

2.        A statement of whether the applicant is a funeral director or embalmer licensed in Arizona;

3.        Whether the  applicant has ever been convicted of  or entered into a plea of no contest to a felony or to a misde- meanor involving dishonesty, fraud, deception, misrepre- sentation, embezzlement, or breach of fiduciary duty in any state or federal court within seven years preceding the date of application including the:

a.         Charged felony or misdemeanor;

b.        Date of conviction;

c.         Court having jurisdiction over the felony or misde- meanor;

d.        Probation  officer’s  name,  address,  and  telephone number, if applicable;

e.         A copy of the notice of expungement, if applicable; and

f.         A copy of the notice of restoration of civil rights, if applicable.

4.        Whether the applicant, within seven years preceding the date of the application, has had an application for a license, registration, endorsement, or certificate denied or rejected by any state funeral licensing authority including the:

a.         Reason for the denial or rejection,

b.        Date of the denial or rejection, and

c.         Name  and  address  of  the  agency  that  denied  or rejected the application;

5.        Whether the applicant, within seven years preceding the date of the application, has had  a license, certificate, endorsement, or registration suspended or revoked by any state funeral licensing authority including the:

a.         Reason for the suspension or revocation,

b.        Date of the suspension or revocation, and

c.         Name and address of the agency that suspended or revoked the license;

6.        A notarized statement signed by the applicant verifying the information on the application is true and correct; and

7.        A notarized statement signed by the responsible funeral director verifying the applicant will be employed by the responsible funeral director upon issuance of the registra- tion by the Board.

Historical Note

Former Rule, Section 9, Article 111; Former Section R4- 12-30 renumbered as Section R4-12-206 effective June 16, 1981 (Supp. 81-3). Former Section R4-12-206 repealed and a new Section R4-12-206 adopted effective September 18,1987 (Supp. 87-3). Section repealed; new Section adopted by final rulemaking at 7 A.A.R. 1441, effective March 14, 2001 (Supp. 01-1).