Ariz. Admin. Code § R9-20-103 - Application and Renewal

A. An applicant applying to become a DUI services provider shall submit to the Department an application packet that contains:

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

a. The applicant's name;

b. The applicant's address and telephone number;

c. The applicant's e-mail address;

d. The name, telephone number, and e-mail address of the individual acting on behalf of the applicant according to R9-20-102, if applicable;

e. The name under which the applicant plans to do business, if different from the applicant's name;

f. The address and telephone number of each facility from which DUI services will be provided;

g. Whether the applicant is seeking approval to provide:

i. DUI screening face-to-face,

ii. DUI screening electronically,

iii. DUI education in a classroom setting,

iv. DUI education electronically, or

v. DUI treatment; and

h. The applicant's signature and the date signed;

2. If providing DUI screening, a copy of the:

a. Standardized instrument for measuring alcohol dependency or substance abuse required in R9-20-108(C)(4), and

b. Policies and procedures required in R9-20-108(A);

3. If providing DUI education, a copy of the:

a. DUI education pre-test required in R9-20-109(E)(1),

b. DUI education information required R9-20-109(E)(2),

c. DUI education post-test required in R9-20-109(E)(3),

d. Policies and procedures required in R9-20-109(A), and

e. Policies and procedures required in R9-20-109(F);

4. If providing DUI treatment, a description of the:

a. Group counseling programs, as required in R9-20-110(C)(2); and

b. Policies and procedures required in R9-20-110(A);

5. The name and resume of the administrator; and

6. 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.

B. For renewal, at least 60 days before the expiration of approval, a DUI services provider shall submit to the Department in a Department-provided format:

1. The DUI services provider's approval number;

2. The information in subsection (A)(1); and

3. The documentation in subsection (A)(2) through (4), as applicable.

Notes

Ariz. Admin. Code § R9-20-103

Adopted under an exemption from A.R.S. Title 41, Chapter 6 pursuant to Laws 1992, Ch. 301, § 61, effective October 23, 1992; received in the Office of the Secretary of State November 9, 1992 (Supp. 92-4). Amended under an exemption from A.R.S. Title 41, Chapter 6 pursuant to Laws 1992, Ch. 301, § 61, effective September 30, 1993 (Supp. 93-3). Agency errors corrected pursuant to letter received in the Office of the Secretary of State October 8, 1993 (Supp. 93-4). Section repealed; new Section made by exempt rulemaking at 7 A.A.R. 4439, effective October 3, 2001 (Supp. 01-3). Amended by exempt rulemaking at 9 A.A.R. 3214, effective June 30, 2003 (Supp. 03-2). Amended by exempt rulemaking at 19 A.A.R. 2367, effective October 1, 2013 (Supp. 13-2).