Section R9-16-103. Renewal

A.      At least 30 calendar days and no more than 60 calendar days before the expiration date of a midwifery license, a midwife shall submit to the Department:

1.        An application for renewal of a midwifery license in a format provided by the Department, that contains:

a.         The midwife's name, address, telephone  number, and e-mail address;

b.        The midwife’s license number;

c.         Whether the midwife has been convicted of a felony or a misdemeanor in this or another state or jurisdic- tion in the previous two years;

d.        If the midwife was convicted of a felony or misde- meanor:

i.         The date of the conviction,

ii.        The state or jurisdiction of the conviction,

iii.      An explanation of the crime of which the mid- wife was convicted, and

iv.       The disposition of the case;

e.         Whether the midwife agrees to allow the Depart- ment to submit supplemental requests for informa- tion under R9-16-107(C)(2);

f.         An attestation that the midwife has completed the continuing education requirement in R9-16-105;

g.        An attestation that the midwife is complying with the requirements in A.R.S. § 32-3211;

h.        An attestation that information required as part of the application has been submitted and is true and accurate; and

i.         The midwife’s signature and date of signature;

2.        Either:

a.         Documentation that the midwife is currently certi- fied by the North American Registry of Midwives as a Certified Professional Midwife; or

b.        For a midwife who has been continuously licensed as a midwife by the Department since 1999, a copy of both sides of documentation showing the comple- tion of current training in:

i.         Adult basic cardiopulmonary resuscitation that meets the requirements in R9-16-102(A)(4)(a), and

ii.        Neonatal resuscitation that meets the require- ments in R9-16-102(A)(4)(b); and

3.        A non-refundable renewal fee of $25.

B.       The Department shall review an application for renewal of a license to practice midwifery  according to R9-16-107 and Table 1.

Historical Note

Adopted effective March 14, 1994 (Supp. 94-1). Exhibit C repealed by exempt rulemaking at 19 A.A.R. 1805, effective July 1, 2013 (Supp. 13-2).