Section R9-20-103. Application and Renewal

A.      An applicant applying to become a DUI services provider shall submit to the Department an application packet that contains:

1.        An application in a format provided by the Department that includes:

a.        The applicant’s name;

b.        The applicant’s address and telephone number;

c.        The applicant’s e-mail address;

d.        The name, telephone number, and e-mail address of the individual acting on behalf of the applicant according to R9-20-102, if applicable;

e.        The name under which the applicant plans to do business, if different from the applicant’s name;

f.         The address and telephone number of each facility from which DUI services will be provided;

g.        Whether the applicant is seeking approval to pro- vide:

i.         DUI screening face-to-face,

ii.        DUI screening electronically,

iii.      DUI education in a classroom setting,

iv.      DUI education electronically, or

v.        DUI treatment; and

h.        The applicant’s signature and the date signed;

2.        If providing DUI screening, a copy of the:

a.        Standardized instrument for measuring alcohol dependency or substance abuse required in R9-20- 108(C)(4), and

b.        Policies and procedures required in R9-20-108(A);

3.        If providing DUI education, a copy of the:

a.       

b.	DUI    education	information     required	R9-20-
	109(E)(2),
c.	DUI    education	post-test    required    in	R9-20-
	109(E)(3),

  

 

DUI education pre-test required in R9-20-109(E)(1),

d.        Policies and procedures required in R9-20-109(A), and

e.        Policies and procedures required in R9-20-109(F);

4.        If providing DUI treatment, a description of the:

a.        Group counseling programs, as required in R9-20- 110(C)(2); and

b.        Policies and procedures required in R9-20-110(A);

5.        The name and resume of the administrator; and

6.        A copy of the applicant’s:

a.        U.S. Passport, current or expired;

b.        Birth certificate;

c.        Naturalization documents; or

d.        Documentation of legal resident alien status.

B.       For renewal, at least 60 days before the expiration of approval, a DUI services provider shall submit to the Department in a Department-provided format:

1.        The DUI services provider’s approval number;

2.        The information in subsection (A)(1); and

3.        The documentation in subsection (A)(2) through (4), as applicable.

Historical Note

Adopted under an exemption from A.R.S. Title 41, Chap- ter 6 pursuant to Laws 1992, Ch. 301, § 61, effective October 23, 1992; received in the Office of the Secretary of State November 9, 1992 (Supp. 92-4). Amended under an exemption from A.R.S. Title 41, Chapter 6 pursuant to Laws 1992, Ch. 301, § 61, effective September 30, 1993 (Supp. 93-3). Agency errors corrected pursuant to letter received in the Office of the Secretary of State October 8, 1993 (Supp. 93-4). Section repealed; new Section made by exempt rulemaking at 7 A.A.R. 4439, effective Octo- ber 3, 2001 (Supp. 01-3). Amended by exempt rulemaking

at 9 A.A.R. 3214, effective June 30, 2003 (Supp. 03-2). Amended by exempt rulemaking at 19 A.A.R. 2367, effective October 1, 2013 (Supp. 13-2).