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 R9-16-507. Changes Affecting a License or a Licensee; Request for a Duplicate License
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A. A licensee shall submit a notice to the Department in writing within 30 calendar days after the effective date of a change in:
1. The licensee's home address or e-mail address, including the new home address or e-mail address;
2. The licensee’s name, including one of the following with the licensee's new name:
a. Marriage certificate,
b. Divorce decree, or
c. Other legal document establishing the licensee's new name; or
3. The place or places, including address or addresses, where the licensee engages in the practice of speech-lan- guage pathology.
B. A licensee may obtain a duplicate license by submitting to the Department a written request for a duplicate license in a for- mat provided by the Department that contains:
1. The licensee's name and address,
2. The licensee's license number and expiration date,
3. The licensee's signature and date of signature, and
4. A $25 duplicate license fee.
Historical Note
New Section made by final rulemaking at 15 A.A.R. 2132, effective January 30, 2010 (Supp. 09-4). Section R9-16-507 renumbered to R9-16-506; new Section R9- 16-507 renumbered from R9-16-508 and amended by exempt rulemaking at 20 A.A.R. 1998, effective July 1,
2014 (Supp. 14-2).