R9-16-103. License Renewal

A. At least 30 calendar days and no more than 60 calendar days before the expiration date of a midwifery license, a midwife shall submit to the Department: 1. An application for renewal of a midwifery license, in a format provided by the Department, that contains: a. The midwife’s name, address, telephone number, and e-mail address; b. The midwife’s license number; c. Whether the midwife has been convicted of a felony or a misdemeanor in this or another state or jurisdiction in the previous two years; d. If the midwife was convicted of a felony or misdemeanor: i. The date of the conviction, ii. The state or jurisdiction of the conviction, iii. An explanation of the crime of which the midwife was convicted, and iv. The disposition of the case; e. Whether the midwife agrees to allow the Department to submit supplemental requests for information under R9-16-107(C)(2); f. An attestation that the midwife has completed the continuing education requirement in R9-16-105; g. An attestation that the midwife is complying with the requirements in A.R.S. § 32-3211; h. An attestation that information required as part of the application is true and accurate; and i. The midwife’s signature and date of signature; 2. Either: a. Documentation that the midwife is currently certified by the North American Registry of Midwives as a Certified Professional Midwife; or b. For a midwife who has been continuously licensed as a midwife by the Department since 1999, a copy of both sides of documentation showing the completion of current training in: i. Adult basic cardiopulmonary resuscitation that meets the requirements in R9-16-102(A)(4)(a), and ii. Neonatal resuscitation that meets the requirements in R9-16-102(A)(4)(b); and 3. A non-refundable renewal fee of $25. B. The Department shall review an application for renewal of a license to practice midwifery according to R9-16-107 and Table 1.1.