R9-16-207. License Renewal

A. Before the expiration date of a license, a licensee shall submit to the Department: 1. A renewal application in a Department-provided format that contains: a. The licensee’s name, home address, telephone number, and email address; b. If applicable, the licensee’s business address and telephone number; c. The licensee’s current employment, if applicable, including: i. The employer’s name, ii. The licensee’s position, iii. Dates of employment, iv. The address of the employer, v. The supervisor’s name, vi. The supervisor’s email address, and vii. The supervisor’s telephone number; d. The licensee’s license number and date of expiration; e. Since the previous license application, whether the licensee has been convicted of a felony or a misdemeanor in this or another state; f. If the licensee was convicted of a felony or a misdemeanor: i. The date of the conviction, ii. The state or jurisdiction of the conviction, iii. An explanation of the crime of which the licensee was convicted, and iv. The disposition of the case; g. Whether the licensee has had a license revoked or suspended by any state within the previous two years; h. Whether the licensee is currently ineligible for licensure in any state because of a prior license revocation or suspension; i. If the licensee has been disciplined by any state, territory, or district of this country for an act related to the licensee’s license to practice audiology or a speech-language pathologist license that is consistent with A.R.S. Title 36, Chapter 17, documentation that includes: i. The date of the disciplinary action, ii. The state or jurisdiction of the disciplinary action, iii. An explanation of the disciplinary action, and iv. The disposition of the case; v. Any other applicable documents, including a legal order or settlement agreement; j. An attestation that the licensee completed continuing education required under A.R.S. § 36-1904 and this Article, and documentation of completion is available upon request; k. Whether the licensee agrees to allow the Department to submit supplemental requests for information under R9-16-214; l. An attestation that the information submitted as part of the renewal application is true and accurate; and m. The licensee’s signature and date of signature; and 2. A renewal fee specified in R9-16-216. B. A licensee licensed as a speech-language pathologist, whose practice is limited to providing services to students under the authority of a local education agency or state-supported institution, such as a school, a charter school, a private school, or an accommodation school as defined in A.R.S. § 15-101, shall provide documentation required in A.R.S. § 36-1940.01(B); C. If a licensee is renewing a temporary speech-language pathology license: 1. A statement signed and dated by the licensee’s clinical fellowship supervisor agreeing to comply with R9-16- 209; and 2. The name, business address, telephone number, and license number of the speech language pathologist providing supervision to the licensee. D. In addition to subsection (A), a licensee who submits a renewal application within 30 calendar days after the license expiration date shall submit a late fee specified in R9-16-216. E. A licensee who does not submit the documentation and the fee in subsection (A) and, if applicable, (B) within 30 calendar days after the license expiration date shall apply for a new license in R9-16-202. F. If a licensee applies for a license according to R9-16-202 more than 30 calendar days but less than one year after the expiration date of the applicant’s previous license, the applicant: 1. Is not required to submit ETSNEA or ETSNESLP documentation, and 2. Shall submit an attestation of continuing education according to R9-16-208, completed within the twenty- four months before the date of application. G. The Department shall review the application for a renewal license according R9-16-214 and Table 2.1.