Ariz. Admin. Code § R4-7-1403 - Procedures for Processing Initial Registration Applications
A. An application for Business Entity
Registration shall be made on a form and in a manner prescribed by the
Board.
B. A completed business
entity registration application package shall be submitted to the Board office
on a business day. The Board shall deem the business entity application package
received on the date that the Board stamps on the package as the date the
package is delivered to the Board office.
C. To complete a business entity application
package, an applicant shall provide the following information and
documentation:8.
6. Any record of an
owner, officer or director being convicted of, pleading guilty to, or pleading
nolo contendere to a misdemeanor or a felony, even if the record of the
conviction or plea was sealed or expunged or the conviction was set aside or
forgiven, and any record of an arrest, investigation, indictment, or charge
that has not been concluded.
9.
7. Any record of an
owner, officer or director being refused a license to practice chiropractic or
any other profession in this or any other jurisdiction, and any record of a
disciplinary action taken against an owner, officer or director's license in
this or any other jurisdiction.
10.
8. The social security
number for each owner, officer, or director.
11.
9. A government issued
photo identification confirming U.S. citizenship or legal presence in the
United States for each owner, officer or director, or if those individuals
reside outside of the United States, confirmation of legal authority to operate
a business in the United States.
12.
10. A copy of the
written protocol required by A.R.S. §
32-934(G).
13.
11.
The name, phone number and address for a contact person.
14.
12. A
notarized signature for each owner, officer or director attesting to the
truthfulness of the information provided by the applicants. A stamped signature
will not be accepted for the purposes of completing the application.
1. The full current name and
any former names and title of any and all owners, officers or
directors.
2. The current home and
all office addresses, current home and all office phone numbers, all current
office fax numbers, and any previous home or office addresses for the past five
years for each owner, officer or director.
3. The business name and the current
addresses, phone numbers and fax numbers for each office, clinic or other
setting where any service is performed, supervised or directed by a licensed
doctor of chiropractic according to
R4-7-1401(A)
and this Chapter.
4. The
non-refundable application fee of four hundred dollars.
5. The name and license number of each doctor
of chiropractic employed with, contracted with, or otherwise affiliated with
the business entity according to
R4-7-1401(A)
and this Chapter.
6.
A completed fingerprint card for each owner, officer
or director.
7.
Copies of any and all contracts or any other
agreement between the business entity and the doctor of chiropractic, to
include employment or franchise contracts, agreements or
equivalent.
D. Within 25 business days of
receiving a business entity registration application package, the Board shall
notify the applicant in writing that the package is either complete or
incomplete. If the package is incomplete, the notice shall specify the
information that is missing.
E. An
applicant with an incomplete business entity registration application package
shall supply the missing information within 30 calendar days from the date of
the notice. An applicant who is unable to supply the missing information within
30 calendar days may submit a written request to the Board for an extension of
time in which to provide a complete application package. The request for an
extension of time shall be submitted to the Board office before the 30-day
deadline for submission of a complete application package, and shall state the
reason that the applicant is unable to comply with the 30-day requirement and
the amount of additional time requested. The Board shall grant a request for an
extension of time if the Board finds that the reason the applicant was unable
to comply with the 30-day requirement was due to circumstances beyond the
applicant's control and that compliance can reasonably be expected to be
remedied during the extension of time.
F. If an applicant fails to submit a complete
business entity registration application package within the time permitted, the
Board shall close the applicant's file and send a notice to the applicant by
U.S. Mail that the application file has been closed. An applicant whose file
has been closed and who later wishes to become registered shall reapply
pursuant to
R4-7-1401 and R4-7-1403.
G. After timely
receipt of all missing information as specified in subsection (E), the Board
shall notify the applicant that the application package is complete.
H. The Board shall render a decision no later
than 120 business days after receiving a completed registration application
package. The Board shall deem a registration application package to be complete
on the postmarked date of the notice advising the applicant that the package is
complete.
I. The Board shall
approve the registration for a business entity that meets all of the following
requirements:
1. Timely submits a complete
application.
2. The Board does not
find grounds to deny the application under subsection
R4-7-1401(D).
3. Pays the original business entity prorated
renewal fee of seventeen dollars per month from the first day of the month the
business entity is registered through May 31 plus $25 for each duplicate
license issued by the Board for the purpose of compliance with
R4-7-1402.
J. For the
purpose of A.R.S. §
41-1073, the Board establishes the following time-frames for initial registration:
1. Administrative completeness review
time-frame: 25 business days.
2.
Substantive review time-frame: 120 business days.
3. Overall time-frame: 145 business
days.
Notes
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