Ariz. Admin. Code § R9-25-303 - Changes Affecting a Training Program Certificate (Authorized by A.R.S. Sections 36-2202(A)(3) and (4) and 36-2204(1) and (3))

A. No later than 10 days after a change in the name, address, or e-mail address of the training program certificate holder listed on a training program certificate, the training program certificate holder shall notify the Department of the change, in a Department-provided format, including:

1. The current name, address, and e-mail address of the training program certificate holder;

2. The certificate number for the training program;

3. The new name, new address, or new e-mail address and the date of the name, address, or e-mail address change;

4. If applicable, attestation that the training program certificate holder has insurance required in R9-25-302(C) that is valid for the new name or new address;

5. Attestation that all information submitted to the Department is true and correct; and

6. The signature or electronic signature of the applicant's chief administrative officer or the chief administrative officer's designated representative and date of signature or electronic signature.

B. No later than 10 days after a change in the training program medical director or training program director, a training program certificate holder shall notify the Department, in a Department-provided format, including:

1. The name and address of the training program certificate holder;

2. The certificate number for the training program;

3. The name, telephone number, and e-mail address of the new training program medical director or training program director and the date of the change; and

4. The signature or electronic signature of the applicant's chief administrative officer or the chief administrative officer's designated representative and date of signature or electronic signature.

C. A training program certificate holder that intends to add a course shall submit to the Department a request for approval, in a Department-provided format, including:

1. The name and address of the training program certificate holder;

2. The certificate number for the training program;

3. The name, telephone number, and e-mail address of the applicant's chief administrative officer;

4. The name of each course the training program certificate holder plans to add;

5. Attestation that the training program certificate holder has the equipment and facilities that meet the requirements established according to A.R.S. § 36-2204 and available through the Department at www.azdhs.gov/ems-regulatory-references for the courses specified in subsection (C)(4);

6. Attestation that all information required as part of the request is true and accurate; and

7. The signature or electronic signature of the applicant's chief administrative officer or the chief administrative officer's designated representative and date of signature or electronic signature.

D. For notification made under subsection (A) of a change in the name or address of a certificate holder, the Department shall issue an amended certificate to the training program certificate holder that incorporates the new name or address but retains the date on the current certificate.

E. The Department shall approve or deny a request for the addition of a course in subsection (C) according to Article 12 of this Chapter.

F. A training program certificate holder shall not conduct a course until an amended certificate is issued by the Department.

Notes

Ariz. Admin. Code § R9-25-303

Adopted effective October 15, 1996 (Supp. 96-4). Section repealed; new Section made by final rulemaking at 9 A.A.R. 5372, effective January 3, 2004 (Supp. 03-4). Amended by exempt rulemaking at 19 A.A.R. 282, effective January 28, 2013 (Supp. 13-1). Amended by final expedited rulemaking at 24 A.A.R. 3487, effective 12/4/2018.