Arizona Administrative Code (Last Updated: November 17, 2016) |
Title 9. HEALTH SERVICES |
Chapter 25. DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES |
Article 8. AIR AMBULANCE REGISTRATION |
Section R9-25-802. Requirement, Eligibility, and Application for an Initial or Renewal Certificate of Registration for an Air Ambu- lance (A.R.S. §§ 36-2202(A)(4) and (5), 36-2209(A)(2), 36-2212, 36-2213, 36-2214, and 36-2240(4))
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A. A person shall not operate an air ambulance in this state unless the person has a current and valid air ambulance service license as required under Article 7 of this Chapter and, except as provided in A.R.S. § 36-2212(C), a current and valid certif- icate of registration for the air ambulance as required under this Article.
B. To be eligible to obtain a certificate of registration for an air ambulance, an applicant shall:
1. Hold a current and valid air ambulance service license issued under Article 7 of this Chapter;
2. Hold the following issued by the Federal Aviation Administration for the air ambulance:
a. A current and valid Certificate of Registration, and
b. A current and valid Airworthiness Certificate;
3. Hold a current and valid registration for the air ambu- lance, issued by the Arizona Department of Transporta- tion under A.R.S. Title 28, Chapter 25, Article 4; and
4. Comply with all applicable requirements of this Article, Articles 2 and 7 of this Chapter, and A.R.S. Title 36, Chapter 21.1.
C. To obtain an initial or renewal certificate of registration for an air ambulance, an applicant shall submit to the Department an application completed using a Department-provided form and including:
1. The applicant’s name, mailing address, fax number, and telephone number;
2. All other business names used by the applicant;
3. The applicant’s physical business address, if different from the mailing address;
4. The following information about the air ambulance for which registration is sought:
a. Each mission level for which the air ambulance will
be used:
i. Basic life support,
ii. Advanced life support, or
iii. Critical care;
b. Whether a fixed-wing or rotor-wing aircraft;
c. Number of engines;
d. Manufacturer name;
e. Model name;
f. Year manufactured;
g. Serial number;
h. Aircraft tail number;
i. Aircraft colors, including fuselage, stripe, and letter- ing; and
j. A description of any insignia, monogram, or other distinguishing characteristics of the aircraft’s appearance;
5. A copy of the following issued to the applicant, for the air ambulance, by the Federal Aviation Administration:
a. A current and valid Certificate of Registration, and
b. A current and valid Airworthiness Certificate;
6. A copy of a current and valid registration issued to the applicant, for the air ambulance, by the Arizona Depart- ment of Transportation under A.R.S. Title 28, Chapter 25, Article 4;
7. The location in Arizona at which the air ambulance will be available for inspection;
8. The name and telephone number of the individual to con- tact to arrange for inspection, if the inspection is prean- nounced;
9. Attestation that the applicant knows all applicable requirements in A.R.S. Title 36, Chapter 21.1; this Arti- cle; and Articles 2 and 7 of this Chapter;
10. Attestation that the information provided in the applica- tion, including the information in the documents accom- panying the application form, is accurate and complete;
11. The dated signature of:
a. If the applicant is an individual, the individual;
b. If the applicant is a corporation, an officer of the corporation;
c. If the applicant is a partnership, one of the partners;
d. If the applicant is a limited liability company, a man- ager or, if the limited liability company does not have a manager, a member of the limited liability company;
e. If the applicant is an association or cooperative, a member of the governing board of the association or cooperative;
f. If the applicant is a joint venture, one of the individ- uals signing the joint venture agreement;
g. If the applicant is a governmental agency, the indi- vidual in the senior leadership position with the agency or an individual designated in writing by that individual; and
h. If the applicant is a business organization type other than those described in subsections (C)(11)(b) through (f), an individual who is a member of the business organization; and
12. Unless the applicant operates or intends to operate the air ambulance only as a volunteer not-for-profit service, a certified check, business check, or money order made payable to the Arizona Department of Health Services for the following fees:
a. A $50 registration fee, as required under A.R.S. § 36-2212(D); and
b. A $200 annual regulatory fee, as required under A.R.S. § 36-2240(4).
D. The Department requires submission of a separate application and fees for each air ambulance.
E. Except as provided under R9-25-805(C), the Department shall inspect each air ambulance to determine compliance with the provisions of A.R.S. Title 36, Chapter 21.1 and this Article before issuing an initial certificate of registration and at least every 12 months thereafter before issuing a renewal certificate of registration.
F. The Department shall review and approve or deny each appli- cation as described in Article 12 of this Chapter.
G. The Department may deny a certificate of registration for an air ambulance if the applicant:
1. Fails to meet the eligibility requirements of R9-25- 802(B);
2. Fails or has failed to comply with any provision in A.R.S. Title 36, Chapter 21.1;
3. Fails or has failed to comply with any provision in this Article or Article 2 or 7 of this Chapter;
4. Knowingly or negligently provides false documentation or false or misleading information to the Department; or
5. Fails to submit to the Department documents or informa- tion requested under R9-25-1201(B)(1) or (C)(3), as required under R9-25-1201(D), and requests a denial as permitted under R9-25-1201(E).
Historical Note
R9-25-802 recodified from A.A.C. R9-13-1502 (Supp. 98-1). Section repealed; new Section made by exempt rulemaking at 7 A.A.R. 4092, effective September 1,
2001 (Supp. 01-3). Amended by exempt rulemaking at 8
A.A.R. 931, effective February 15, 2002 (Supp. 02-1). Amended by exempt rulemaking at 10 A.A.R. 239,
effective January 3, 2004 (Supp. 03-4). Section recodified
to R9-25-502 at 10 A.A.R. 4192, effective September 21, 2004 (Supp. 04-3). New Section made by final rulemaking at 12 A.A.R. 656, effective April 8, 2006
(Supp. 06-1).