Arizona Administrative Code (Last Updated: November 17, 2016) |
Title 9. HEALTH SERVICES |
Chapter 16. DEPARTMENT OF HEALTH SERVICES OCCUPATIONAL LICENSING |
Article 5. LICENSING SPEECH-LANGUAGE PATHOLOGIST ASSISTANTS |
Section R9-16-503. License Renewal
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A. Before the expiration date of a speech-language pathologist assistant license, an applicant shall submit to the Department:
1. An application for renewal of a speech-language patholo- gist assistant license in a format provided by the Depart- ment that contains:
a. The applicant’s name, home address, telephone number, and e-mail address;
b. If applicable, the name of the applicant’s employer and the employer's business address and telephone number;
c. If applicable, the name of the applicant’s supervising speech-language pathologist;
d. The applicant’s license number and date of expira- tion;
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 has been convicted of a felony or a misdemeanor:
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 agrees to allow the Depart- ment to submit supplemental requests for informa- tion under R9-16-505;
h. An attestation that the information submitted is true and accurate; and
i. The applicant’s signature and date of signature;
2. Documentation of continuing education as required in R9-16-504 and completed within 24 months before the expiration date on the license, including:
a. The name of the individual or organization provid- ing the course;
b. The date and location where the course was pro- vided;
c. The title of each course attended;
d. A description of each course's content;
e. The name of the instructor;
f. The instructor's education, training, and experience background, if applicable; and
g. The number of continuing education hours earned for each course; and
3. A $200 license renewal fee.
B. According to A.R.S. § 36-1904, the Department shall allow a speech-language pathologist assistant to renew a license within 30 calendar days after the expiration date of the license by submitting to the Department:
1. The renewal application packet required in subsection (A), and
2. A $25 late fee.
C. An individual who does not submit a renewal application packet required according to subsection (A) or (B) shall reap- ply for an initial license according to R9-16-502.
Historical Note
New Section made by final rulemaking at 15 A.A.R. 2132, effective January 30, 2010 (Supp. 09-4). Section R9-16-503 renumbered to R9-16-502; new Section R9- 16-503 renumbered from R9-16-504 and amended by exempt rulemaking at 20 A.A.R. 1998, effective July 1,
2014 (Supp. 14-2).