Ariz. Admin. Code § R4-33-405 - Renewal Application
A. The
Board shall provide a certificate holder with notice of the need for
certificate renewal. Failure to receive notice of the need for certificate
renewal does not excuse a certificate holder's failure to renew
timely.
B. A manager certificate
expires at midnight 30 days after the manager's birthday in each odd-numbered
year.
C. To renew a manager
certificate, the certificate holder shall submit the following information to
the Board, on or before expiration of the biennial period, on a renewal
application, which is available from the Board:
1. Current address;
2. Current home and business telephone
numbers;
3. Whether within the last
24 months the certificate holder was convicted of or pled guilty or no contest
to a criminal offense, other than a minor traffic violation, in any court and
if so, attach a copy of the original arrest record and final court
judgment;
4. Whether within the
last 24 months the certificate holder was denied a professional license or had
a professional license revoked, suspended, placed on probation, limited, or
restricted in any way by a state or federal regulatory authority and if so, the
kind of license, license number, issuing authority, nature of the regulatory
action, and date;
5. An affirmation
that the number of hours of continuing education required under
R4-33-501 has been
completed;
6. An affirmation that
the certificate holder complies with the disclosure requirements under
R4-33-408; and
7. The certificate holder's dated signature
affirming the information provided is true and complete.
D. In addition to the renewal application
required under subsection (C), a certificate holder shall submit:
1. A photocopy of the front and back of the
certificate holder's fingerprint clearance card;
2. Documentation described in A.R.S. §
41-1080(A) unless the documentation previously submitted under
R4-33-403(B)(11)
established U.S. citizenship or was a non-expiring work authorization issued by
the federal government; and
3. The
renewal fee required under
R4-33-104.
E. An individual whose certificate expires
because of failure to renew timely may apply for renewal by complying with
subsections (C) and (D) if:
3.
2. The
individual affirms that the individual has not acted as an assisted living
facility manager since the certificate expired, and
1. The individual complies with
subsections (C) and (D) on or before July 31,
3. The individual's certificate has not been
surrendered, suspended, or revoked.
F. An individual whose certificate expires
because of failure to renew timely and who does not comply with subsection (E)
may obtain a manager certificate only by complying with
R4-33-401.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.