Ariz. Admin. Code § R4-43-202 - Renewal of License
A. A
licensee shall renew a license by submitting to the Board a renewal
application, proof of completion of the continuing education requirements in
R4-43-203,
and paying the renewal fee within 2 years of initial licensure or last license
renewal date.
B. The renewal
application form provided by the Board shall include the following:
1. Applicant's last name, first name, middle
initial, and other names used by the applicant;
2. How applicant's name is to be shown on the
renewal license;
3. Residence
address;
4. Alternate mailing
address if the residential address is to remain confidential;
5. Current Arizona Board of Occupational
Therapy Examiners license number;
6. Type of renewal license for which
applying;
7. The amount of the
renewal fee;
8. Disciplinary
actions since initial licensure;
9.
Hours and titles of continuing education completed;
10. Total hours of continuing education
completed;
11. Social security
number;
12. Employer's name,
address, and telephone number;
13.
Signature and date.
C.
Unless otherwise required by A.R.S. §
32-3202, a license that is not renewed within 2 years of the date of issuance expires by
operation of law. A licensee may reinstate within 180 calendar days of the
expiration date upon payment of the required renewal fee, a reinstatement fee
under R4-43-102(A)(2)(a) and submittal of proof of completion of the continuing
education requirements in
R4-43-203.
Notes
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