Ariz. Admin. Code § R9-16-304 - Requirements for an Initial Hearing Aid Dispenser License

A. An applicant applying for an approval to take the Department-designated written hearing aid dispenser examination shall submit to the Department:

1. An application in a format provided by the Department that contains:

a. The applicant's name, home address, telephone number, and e-mail address;

b. The applicant's Social Security number, as required under A.R.S. §§ 25-320 and 25-502 ;

c. If applicable, the name of the applicant's employer and the employer's business address and business telephone number;

d. Whether the applicant has ever been convicted of a felony or a misdemeanor in this or another state or jurisdiction; and

e. If the applicant was convicted of a felony or misdemeanor:

i. The date of the conviction,

ii. The state or jurisdiction of the conviction,

iii. An explanation of the crime of which the applicant was convicted, and

iv. The disposition of the case;

f. Whether within the two years before the application date, a hearing aid dispenser license issued to the applicant was suspended or revoked;

g. Whether the applicant is currently ineligible to apply for a hearing aid dispenser license due to a prior revocation or suspension of the applicant's hearing aid dispenser license;

h. Whether the applicant agrees to allow the Department to submit supplemental requests for information under R9-16-316 ;

i. An attestation that the information submitted as part of the application is true and accurate; and

j. The applicant's signature and date of signature;

2. A copy of the applicant's:

a. U.S. passport, current or expired;

b. Birth certificate;

c. Naturalization documents; or

d. Documentation of legal resident alien status;

3. Documentation that the applicant:

a. Received a high school diploma from an accredited high school;

b. Passed the general education development tests;

c. Completed an associate degree or higher from an accredited college or university; or

d. Continuously engaged in the practice of fitting and dispensing hearing aids during the three years before August 11, 1970;

4. If the applicant was issued a hearing aid dispenser license in another state or jurisdiction, where the applicant was issued a hearing aid dispenser license; and

5. A nonrefundable $100 application fee.

B. The Department shall review an application for an approval to take the Department-designated written hearing aid examination according to R9-16-316 and Table 3.1.

C. Within five calendar days after the Department receives the applicant's Department-designated written hearing aid dispenser examination results, the Department shall provide written notification to the applicant of:

1. A passing score that includes approval to take the Department-designated practical examination in R9-16-305 ; or

2. A failing score that includes, as applicable, approval to retake the Department-designated written hearing aid dispenser examination.

A. An applicant for initial licensure shall submit an application to the Department that includes:

1. The information and documents required in R9-16-303 ;

2. Documentation of passing the:

a. Written hearing aid dispenser examination, and

b. Practical examination; and

3. The fees specified in R9-16-316.

B. In addition to complying with subsections (A)(1) and (A)(3), an applicant that may be eligible for licensure under A.R.S. § 36-1922 shall submit documentation to the Department that includes:

1. The name of each state that issued the applicant a current hearing aid dispenser license, including:

a. The license number of each current hearing aid dispenser license, and

b. The date each current hearing aid dispenser license was issued;

2. Documentation of the professional license or certification issued to the applicant by each state in which the applicant holds a professional license or certification;

3. For each state named in subsection (B)(1), a statement, signed and dated by the applicant, attesting that the applicant:

a. Has been licensed or certified in another state for at least one year, with a scope of practice consistent with the scope of practice for which licensure is being requested;

b. Has met minimum education requirements according to A.R.S. § 36-1923(A);

c. Has not voluntarily surrendered a license or certification in any other state or country while under investigation for unprofessional conduct; and

d. Does not have a complaint, allegation, or investigation pending before another regulatory entity in another state or country related to unprofessional conduct.

C. An initial hearing aid dispenser license is valid for two years from the date of issue for licensure by examination or licensure by reciprocity.

D. If the Department does not issue an initial hearing aid dispenser license to an applicant, the Department shall return the license fee to the applicant.

Notes

Ariz. Admin. Code § R9-16-304

Amended effective March 22, 1976 (Supp. 76-2). The Department of Health Services advises that this rule is preempted by Section 521(a) of the federal Food, Drug and Cosmetic Act (21 U.S.C. 360 K). See 21 CFR 808.53, effective November 10, 1980 (Supp. 80-6). Section repealed, new Section adopted effective June 25, 1993 (Supp. 93-2). New Section made by exempt rulemaking at 20 A.A.R. 1998, effective 7/1/2014. Adopted by final expedited rulemaking at 26 A.A.R. 835, effective 4/8/2020.