Ariz. Admin. Code § R9-16-705 - Changes Affecting a Certificate; Request for a Revised/Duplicate Certificate

A. A laser technician shall notify the Department in writing, within 30 calendar days after the effective date of a change in:

1. The laser technician's residential address, mailing address, or email address, including the new residential address, mailing address, or email address, as applicable;

2. The laser technician's name, including:

a. The following information, in a Department-provided format:

i. The laser technician's name, as recorded by the Department, and the laser technician's current certificate number and expiration date;

ii. The laser technician's new name; and

iii. The laser technician's signature and date of signature;

b. A copy of the legal document establishing the laser technician's new name; and

c. The fee required in R9-16-707 for a revised/duplicate certificate that reflects the laser technician's name change; or

3. The laser technician's employer, including the name and address of the new employer.

B. A laser technician may request to add a cosmetic procedure to the laser technician's certificate by submitting to the Department an application packet that includes:

1. The following information in a Department-provided format:

a. The laser technician's name, address, telephone number, and email address;

b. The laser technician's current certification number;

c. Each type of cosmetic procedure that the laser technician is requesting be added to the laser technician's certificate;

d. Attestation that all the information submitted as part of the application is true and accurate; and

e. The laser technician's signature and date of signature;

2. A copy of the document issued to the laser technician by the supervising health professional or laser technician, consistent with requirements in 9 A.A.C. 7, Article 14, verifying the successful completion of the laser technician's 24 hours of hands-on training;

3. A log, in a Department-provided format, documenting 10 procedures and 24 hours of hands-on training for each type of cosmetic procedure specified according to subsection (B)(1)(c); and

4. The fee required in R9-16-707 for a revised/duplicate certificate that reflects the added cosmetic procedure.

C. The Department shall approve or deny a request to add a cosmetic procedure to the laser technician's certificate according to R9-16-706.

D. In addition to the circumstances in subsections (A) and (B), a laser technician may obtain a revised/duplicate certificate by submitting to the Department:

1. A written request for a revised/duplicate certificate, in a Department-provided format, that includes:

a. The laser technician's name and address,

b. The laser technician's certificate number, and

c. The laser technician's signature and date of signature; and

2. The revised/duplicate certificate fee in R9-16-707.

Notes

Ariz. Admin. Code § R9-16-705

New Section made by final expedited exempt rulemaking at 30 A.A.R. 173, effective 1/4/2024.