Ariz. Admin. Code § R9-15-106 - Request for Change

A. If an awardee's personal information changes, the awardee shall submit:

1. A written notice stating the information being changed and indicating the new information; and

2. If the change is in the awardee's legal name, a copy of one of the following with the awardee's new name:

a. Marriage certificate,

b. Divorce decree,

c. Professional license, or

d. Other legal document establishing the awardee's legal name.

B. An awardee shall submit to the Department a request for a change:

1. At least 10 working days before the effective date of a change to a qualifying educational loan or lender; and

2. At least 30 calendar days before the effective date of a change to add or transfer to another service site or employer or, if applicable, to change service hours worked.

C. To request a change in subsection (B), an awardee shall submit the following information to the Department, in a Department-provided format:

1. The awardee's name, home address, telephone number, and e-mail address;

2. Whether the request is to:

a. Add or change a qualifying educational loan or lender,

b. Add or transfer to another service site or employer, or

c. Change service hours from full-time to half-time or from half-time to full-time;

3. Whether the awardee agrees to allow the Department to submit supplemental requests for additional information or documentation in R9-15-205 or R9-15-305, as applicable;

4. An attestation that:

a. The awardee authorizes the Department to verify all the information provided, and

b. The information submitted is true and accurate; and

5. The awardee's signature and date of signature.

D. In addition to the information required in subsection (C), an awardee shall submit to the Department:

1. If adding or changing a qualifying educational loan or lender, the following documentation about the new qualifying educational loan or lender:

a. In a Department-provided format:

i. An attestation signed and dated by an individual from the lending institution, certifying that the loan meets the requirements in R9-15-102 for a qualifying educational loan; and

ii. The percentage of the loan repayment funds that the awardee is requesting that the lender receive;

b. Documentation from the lender or the National Student Loan Data System, established by the U.S. Department of Education, verifying that the loan is a qualifying educational loan; and

c. For the qualifying educational loan, a copy of the most recent billing statement from the lender;

2. If adding or transferring to a new service site or beginning employment with a new employer, for each new service site or employer:

a. The following in a Department-provided format;

i. The information required in R9-15-202(B)(1)(c) or R9-15-302(B)(1)(b), as applicable, for the new service site;

ii. The attestation required in R9-15-202(B)(16) or R9-15-302(B)(1)(g), as applicable; and

iii. If applicable, the information required in R9-15-202(B)(20) ;

b. If applicable, a copy of the new service site's:

i. Sliding-fee schedule in R9-15-201(A)(2)(d)(i) ,

ii. Sliding-fee schedule policy in R9-15-201(A)(2)(d)(ii), and

iii. Sliding-fee schedule signage in R9-15-201(A)(2)(d)(iii) that is posted on the premises; and

c. If applicable, documentation that the new service site is in a HPSA or an AzMUA; and

3. The following information if changing service hours worked:

a. In a Department-provided format:

i. The name, title, e-mail address, and telephone number of a contact individual for each service site or employer; and

ii. The percentage of loan repayment funds each lender may receive if different from the initial application; and

b. A copy of an agreement or a letter verifying approval to change service hours, signed by the designee of the governing authority from the service site where the awardee provides service, including:

i. The name of each service site where the services are provided;

ii. The date the awardee is expected to begin revised services hours;

iii. The number of service hours per week the awardee is expected to work; and

iv. If an awardee will provide telemedicine, the number of telemedicine hours the awardee is expected to provide per week.

E. An awardee shall obtain the Department's approval for the following changes:

1. Except as provided in R9-15-301(C), before the awardee provides services at another service site; or

2. If awarded under Article 2 of this Chapter, before the awardee changes from full-time or half-time hours worked.

F. If applicable, if a change in service site, employer, or service hours worked affects an awardee's service site points or health service priority, the Department shall determine whether the awardee's loan repayment amount will increase or decrease, and:

1. If a loan repayment amount will increase, the awardee's loan repayment amount will not change until the awardee obtains approval to renew participation; and

2. If a loan repayment amount will decrease, the awardee's loan repayment amount will decrease according to amounts in R9-15-208 or R9-15-307, as applicable, effective on the date the Department approves the awardee's request to change service site or service hours.

G. If a change in service hours worked is from full-time to half-time, the awardee's amount of loan repayment funds allocated will decrease by half of the existing contracted loan repayment amount, effective on the date the Department approves the awardee's request to change the service hours worked.

H. If a change in service hours worked is from half-time to full-time:

1. The awardee's allocated loan repayment funds will not change until the awardee's renewal application is approved to continue participation; and

2. For an awardee who was initially allocated loan repayment funds based on providing services full-time but is currently providing services half-time, the awardee's loan repayment funds will revert to the loan repayment funds initially allocated after the Department approves the awardee's request to change back to full-time service hours.

I. For a request submitted according to subsection (C), the Department shall notify an awardee of the Department's decision according to R9-15-205 or R9-15-305, as applicable.

Notes

Ariz. Admin. Code § R9-15-106

Adopted effective November 16, 1983 (Supp. 83-6). Repealed under an exemption from A.R.S. Title 41, Chapter 6, pursuant to Laws 1992, Ch. 301, §61 effective October 1, 1992, filed October 14, 1992 (Supp. 92-4). Adopted by emergency rulemaking at 28 A.A.R. 3684, effective 11/15/2022. Amended by emergency rulemaking at 29 A.A.R. 1274, effective 5/14/2023. New Section made by final rulemaking at 29 A.A.R. 3837, effective 12/6/2023.