Section R9-16-207. License Renewal for a Temporary Speech-lan- guage Pathologist

A.      Before the expiration date of the temporary speech-language pathologist license, a licensed temporary speech-language pathologist shall submit to the Department:

1.        A renewal application in a format provided by the Department that contains:

a.         The applicant’s name, home address, e-mail address, and telephone number;

b.        The applicant’s license number and date of expira- tion;

c.         The name of the applicant’s employer, including the employer’s business address, and telephone number;

d.        The name, business address, telephone number, and license number of the speech language pathologist providing supervision to the applicant;

e.         Since the previous license application, whether the applicant has been convicted of a felony or a misde- meanor involving moral turpitude in this or another state;

f.         If the applicant was convicted of a felony or a mis- demeanor:

i.         The date of the conviction,

ii.        The state or jurisdiction of the conviction,

iii.      An explanation of the crime of which the appli- cant was convicted, and

iv.       The disposition of the case;

g.        An attestation that the information submitted is true and accurate; and

h.        The applicant’s signature and date of signature;

2.        A statement signed and dated by the applicant’s clinical fellowship supervisor agreeing to comply with R9-16- 210; and

3.        A $100 license renewal fee.

B.       The Department shall review the application packet for a renewal temporary license to practice as a temporary speech- language pathologist according to R9-16-209 and Table 2.1.

Historical Note

Former Section R9-16-207 repealed, new Section R9-16- 207 adopted effective January 23, 1978 (Supp. 78-1).

Repealed effective March 14, 1994 (Supp. 94-1).

Adopted by final rulemaking at 5 A.A.R. 4359, effective October 28, 1999 (Supp. 99-4). Section R9-16-207 renumbered to R9-16-208; new Section R9-16-207 made by exempt rulemaking at 20 A.A.R. 1998, effective July 1, 2014 (Supp. 14-2).