To renew a laboratory agent's registry identification card
for an individual serving as an owner for the laboratory, employed by the
laboratory, or providing volunteer services at or on behalf of the laboratory,
the laboratory shall submit to the Department, at least 30 calendar days before
the expiration of the laboratory agent's registry identification card, but no
more than 90 days before the expiration date of the laboratory's agent's
registry identification card, the following:
1. An application in a Department-provided
format that includes:
a. The laboratory
agent's first name; middle initial, if applicable; last name; and suffix, if
applicable;
b. The laboratory
agent's residence address and Arizona mailing address;
c. The county where the laboratory agent
resides;
d. The laboratory agent's
date of birth;
e. The registry
identification number on the laboratory agent's current registry identification
card;
f. The identifying number on the
applicable card or document in subsection (6)(a) through (e);
g.f. The name and registry
identification number of the laboratory; and
h.g. The signature of the
individual in
R9-17-402(A)(1)(c)
designated to submit laboratory agent
applications on the laboratory's behalf and the date the individual
signed;
2. If the
laboratory agent's name in subsection (1)(a) is not the same name as on the
laboratory agent's current registry identification card, one of the following
with the laboratory agent's new name:
a. An
Arizona driver's license,
b. An
Arizona identification card, or
c.
The photograph page in the laboratory agent's U.S. passport or a U.S. passport
card;
3. An attestation
signed and dated by the laboratory agent that the laboratory agent:
a. Either:
i. Has not been convicted of an excluded
felony offense as defined in A.R.S. §
36-2801, or
ii. Is deemed to not have been convicted of
an excluded felony offense through holding a valid level I fingerprint
clearance card issued according to A.R.S. §
41-1758.07; and
b. Will not test medical marijuana
and medical marijuana products for:
i. A
dispensary, related medical marijuana business entity or management company the
laboratory agent has a direct or indirect familial or financial relationship
with or interest in; or
ii. A
designated caregiver the laboratory has a direct or indirect familial or
financial relationship with;
4. One of the
following:
a. A statement that the
laboratory agent does not currently hold a valid registry identification card,
or
b. The assigned registry
identification number for the laboratory agent for each valid registry
identification card currently held by the laboratory
agent;
5.4. A statement in a
Department-provided format signed by the laboratory agent pledging not to
divert marijuana to any individual who or entity that is not allowed to possess
marijuana pursuant to A.R.S. Title 36, Chapter 28.1;
6. A copy of the laboratory
agent's:
a Arizona driver's license issued
on or after October 1, 1996;
b. Arizona identification card
issued on or after October 1, 1996;
c. Arizona registry
identification card;
d. Photograph page in the
laboratory agent's U.S. passport; or
e. Arizona driver's license or
identification card issued before October 1, 1996 and one of the following for
the laboratory agent:
i. Birth certificate verifying
U.S. citizenship,
ii. U.S. Certificate of
Naturalization, or
iii. U.S. Certificate of
Citizenship;
7.5. A current photograph
of the laboratory agent;
8.6. For the Department's
criminal records check authorized in A.R.S. §§
36-2804.01 and
36-2804.07:
a. The laboratory agent's fingerprints on a
fingerprint card that includes:
i. The
laboratory agent's first name; middle initial, if applicable; and last
name;
ii. The laboratory agent's
signature;
iii. If different from
the laboratory agent, the signature of the individual physically rolling the
laboratory agent's fingerprints;
iv. The laboratory agent's address;
v. If applicable, the laboratory agent's
surname before marriage and any names previously used by the laboratory
agent;
vi. The laboratory agent's
date of birth;
vii. The laboratory
agent's Social Security number;
viii. The laboratory agent's citizenship
status;
ix. The laboratory agent's
gender;
x. The laboratory agent's
race;
xi. The laboratory agent's
height;
xii. The laboratory agent's
weight;
xiii. The laboratory
agent's hair color;
xiv. The
laboratory agent's eye color; and
xv. The laboratory agent's place of
birth;
b. If the
laboratory agent's fingerprints and information required in subsection (6)(a)
were submitted to the Department within the previous six months as part of an
application for a designated caregiver registry identification card, a
dispensary agent registry identification card, or a laboratory agent registry
identification card, the registry identification number on the registry
identification card issued to the laboratory agent as a result of the
application; or
c. Documentation
that the laboratory agent has a valid level I fingerprint clearance card issued
according to A.R.S. §
41-1758.07;
and
9.7. The applicable fee in
R9-17-102 for applying to renew a
laboratory agent's registry identification card.
