Ariz. Admin. Code § R4-6-304 - Application for a License by Endorsement

An applicant who meets the requirements specified under A.R.S. § 32-3274 for a license by endorsement shall submit a completed application packet, as prescribed in R4-6-301, and the following:

1. The name of one or more other jurisdictions where the applicant is certified or licensed as a behavioral health professional by a state or federal regulatory entity, and has been for at least three years;

2. A verification of each certificate or license identified in subsection (1) by the state regulatory entity issuing the certificate or license that includes the following:

a. The certificate or license number issued to the applicant by the state regulatory entity;

b. The issue and expiration date of the certificate or license;

c. Whether the applicant has been the subject of disciplinary proceedings by a state regulatory entity; and

d. Whether the certificate or license is active and in good standing;

3. If applying at a practice level listed in A.R.S. § 32-3274(B), include:

a. An official transcript as prescribed in R4-6-301(6); and

b. If applicable, a foreign degree evaluation prescribed in R4-6-216 or R4-6-401; and

4. Documentation of completion of the Arizona Statutes/Regulations Tutorial.

Notes

Ariz. Admin. Code § R4-6-304

New Section made by exempt rulemaking at 10 A.A.R. 2700, effective July 1, 2004 (Supp. 04-2). Amended by exempt rulemaking at 11 A.A.R. 2713, effective June 27, 2005 (Supp. 05-2). Amended by exempt rulemaking at 14 A.A.R. 2714, effective June 6, 2008 (Supp. 08-2). Amended by exempt rulemaking at 21 A.A.R. 2630, effective 11/1/2015. Amended by exempt rulemaking at 22 A.A.R. 3238, effective 11/1/2016. Amended by final rulemaking at 24 A.A.R. 3369, effective 1/12/2019. Amended by final rulemaking at 26 A.A.R. 2881, effective 1/3/2021.