Arizona Administrative Code (Last Updated: November 17, 2016) |
Title 9. HEALTH SERVICES |
Chapter 16. DEPARTMENT OF HEALTH SERVICES OCCUPATIONAL LICENSING |
Article 3. LICENSING HEARING AID DISPENSERS |
Section R9-16-311. License Renewal
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A. A licensee, except for a hearing aid dispenser with a temporary license, shall submit a renewal application in a format pro- vided by the Department that contains:
1. For an individual licensed as a hearing aid dispenser:
a. The applicant's name, home address, telephone num- ber, and e-mail address;
b. The applicant’s Social Security Number, as required under A.R.S. §§ 25-320 and 25-502;
c. If applicable, the name of the applicant's employer and the employer's business address and business telephone number;
d. The applicant’s license number and expiration date;
e. Since the hearing aid dispenser’s previous license application, whether the applicant has been con- victed of a felony or a misdemeanor involving moral turpitude in this or another state or jurisdiction;
f. If the applicant was convicted of a felony or misde- meanor involving moral turpitude:
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. Whether the applicant has had a license revoked or suspended by any state within the previous two years;
h. Whether the applicant is currently ineligible for licensure in any state because of a prior license revo- cation or suspension;
i. Whether any disciplinary action has been imposed by any state, territory or district in this country for an act upon the applicant's hearing aid dispenser license;
j. An attestation that information required as part of the application has been submitted and is true and accurate; and
k. The applicant’s signature and date of signature;
2. In addition to the requirements in subsection (A)(1) an individual shall submit:
a. Documentation of 24 continuing education hours completed within the 24 months before the expira- tion date on the license, including:
i. The name of the organization providing the course;
ii. The date and location where the course was provided;
iii. The title of each course attended;
iv. A description of each course's content;
v. Whether the course was taught in-person;
vi. The name of the instructor;
vii. The instructor's education, training, and experi- ence background, if available; and
viii. The number of continuing education hours earned for each course; and
b. A $200 license renewal fee; or
3. For a business organization licensed as a hearing aid dis- penser:
a. The information in subsection R9-16-308(A)(1), and
b. A $200 license renewal fee.
B. A licensee, except for a hearing aid dispenser with a temporary license, who renews a license within 30 calendar days after the expiration date of the license, shall submit to the Department:
1. The information and renewal fee required in subsection (A), and
2. A $25 late fee.
C. A renewal license issued to a licensee, except for a hearing aid dispenser with a temporary license, is valid for two years after the expiration date of the previous license issued by the Department.
D. If a licensee does not comply with subsections (A) or (B), the license is nonrenewable and:
1. The hearing aid dispenser may apply for a new license according to subsection (E), or
2. The business organization may apply for a new license according to R9-16-308.
E. A licensee whose license is nonrenewable according to sub- section (D)(1) and it is within one year after the expiration date of the hearing aid dispenser’s license:
1. The applicant shall submit an application in a format pro- vided by the Department that contains:
a. The information required in R9-16-304(A)(1) through (A)(4), and
b. Documentation of continuing education according to R9-16-312; and
2. A nonrefundable $100 application fee and a $100 license fee.
F. If allowed in R9-16-309(E)(1), a hearing aid dispenser with a temporary license shall submit at least 30 calendar days before the expiration date on the license, a renewal application in a format provided by the Department that contains:
1. The information in R9-16-304(A)(1) through (A)(4);
2. The applicant’s sponsor's:
a. Name,
b. Business address,
c. Business telephone number, and
d. Arizona hearing aid dispenser license number;
3. A statement signed by the sponsor that the sponsor is a licensed hearing aid dispenser who agrees to train, super-
vise, and be responsible for the applicant's hearing aid dispenser practice according to A.R.S. § 36-1905; and
4. A $100 license renewal fee.
G. A renewal license issued to a licensee according to subsection
(F) is valid for one year after the expiration date of the previ- ous license issued by the Department.
H. The Department shall review a renewal application according to R9-16-316 and Table 3.1.
Historical Note
Adopted effective June 25, 1993 (Supp. 93-2). Section repealed; new Section made by exempt rulemaking at 20
A.A.R. 1998, effective July 1, 2014 (Supp. 14-2).