Ariz. Admin. Code § R13-6-201 - Application for an Agency License
A. The individual who will be the qualifying
party of an agency shall submit an application for an agency license. The
qualifying party shall ensure that the application consists of:
1. A complete application form that provides
the following information about the applicant:
a. Full name;
b. Home address;
c. Mailing address if different from the home
address;
d. Home and business
telephone numbers;
e. Height,
weight, hair and eye colors, sex, and date and place of birth;
f. Social Security number; and
g. Any other name by which the applicant has
ever been known;
2.
Properly completed fingerprint card with classifiable fingerprints of the
qualifying party;
3. Fees
prescribed in
R13-6-103 ;
4. Legible, notarized copy of a
government-issued photo identification document for the qualifying party, such
as a state identification card or motor vehicle driver license;
5. Two color photographs of the qualifying
party suitable for use in making an identification card such as passport photos
or 1" x 1 1/4" facial photos;
6.
Exact details as to the character and nature of the qualifying party's required
experience under A.R.S. §
32-2612;
7. Proof of U.S. citizenship or legal
resident status with authorization to seek employment by providing one document
from List A on U.S. Department of Justice Form I-9 or one document from both
Lists B and C. The Department shall return original documents to the
applicant;
8. The following
information about the agency:
a. The name
under which the agency will do business and if required under
R13-6-207, a copy
of the trade name registration provided by the Arizona Secretary of State's
Office;
b. The principal business
address;
c. The principal business
mailing address if different from the principal business address; and
d. A brief statement describing the nature of
the business in which the agency will engage;
9. If the business form is not a sole
proprietorship:
a. Partnership agreement,
articles of organization, or articles of incorporation; and
b. From each partner, officer, director, and
member of the agency, an application for registration certificate as described
in
R13-6-301 ;
10. If the agency is a foreign
corporation, evidence of Arizona Corporation Commission approval to transact
business in Arizona;
11. If the
agency will maintain a branch office, the notice required under
R13-6-204 to obtain a branch office certificate; and
12. The following information required for
approval of uniforms, badges, patches, and insignia under A.R.S. §
32-2635:
a. Color photographs showing the front, back,
and both sides of all uniforms;
b.
A full-size color copy or example of the agency patch;
c. A full-size color copy of the agency badge
or, if no badge will be used, a written statement of this fact;
d. Color photographs showing the front, back,
and both sides of agency vehicles;
e. Close-up color photograph of insignia on
agency vehicles; and
f. Color
photographs showing the front and back of any light bar on agency
vehicles.
B.
The applicant shall sign the completed application form before a notary public,
authorize the Department to obtain information about the applicant from any
person or entity, and certify that all information provided is true and
correct.
C. If an agency will have
a resident manager, the resident manager shall use the application form
described under this Section and provide the information required under
subsections (A)(1) through (A)(7).
Notes
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