Ariz. Admin. Code § R9-16-507 - Changes Affecting a License or a Licensee; Request for a Duplicate License

A. A licensee shall submit a notice to the Department in writing within 30 calendar days after the effective date of a change in:

1. The licensee's home address or e-mail address, including the new home address or e-mail address;

2. The licensee's name, including one of the following with the licensee's new name:

a. Marriage certificate,

b. Divorce decree, or

c. Other legal document establishing the licensee's new name; or

3. The place or places, including address or addresses, where the licensee engages in the practice of speech-language pathology.

B. A licensee may obtain a duplicate license by submitting to the Department a written request for a duplicate license in a Department-provided format that contains:

1. The licensee's name and address,

2. The licensee's license number and expiration date,

3. The licensee's signature and date of signature, and

4. A duplicate license fee specified in R9-16-508.

Notes

Ariz. Admin. Code § R9-16-507

New Section made by final rulemaking at 15 A.A.R. 2132, effective January 30, 2010 (Supp. 09-4). Amended by exempt rulemaking at 20 A.A.R. 1998, effective 7/1/2014. Amended by final expedited rulemaking at 26 A.A.R. 852, effective 4/8/2020.