R9-16-503. License Renewal

A. Before the expiration date of a speech-language pathology assistant 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. If applicable, the name of the licensee’s supervising speech-language pathologist; e. The licensee’s license number and date of expiration; f. Since the previous license application, whether the licensee has been convicted of a felony or a misdemeanor involving moral turpitude in this or another state; g. If the licensee has been disciplined by any state, territory, or district of this country for an act related to a speech-language pathology that is consistent with A.R.S. Title 36, Chapter 17, documentation that includes: 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; h. Whether the licensee has had a license revoked or suspended by any state within the previous two years; i. Whether the licensee is currently ineligible for licensure in any state because of a prior license revocation or suspension; j. Whether the licensee agrees to allow the Department to submit supplemental requests for information under R9-16-506; k. An attestation that the licensee has completed continuing education required under A.R.S. 36-1904 and this Article and documentation of completion is available upon request; l. An attestation that the information required as part of the renewal application is true and accurate; and m. The licensee’s signature and date of signature; 2. If the licensee has had a license revoked or suspended by any state within the previous two years, documentation that includes: a. The date of the revocation or suspension, b. The state or jurisdiction of the revocation or suspension, and c. An explanation of the revocation or suspension; 3. If the licensee is currently ineligible for licensure in any state because of a prior license revocation or suspension, documentation that includes: a. The date of the ineligibility for licensure, b. The state or jurisdiction of the ineligibility for licensure, and c. An explanation of the ineligibility for licensure; 4. A renewal fee specified in R9-16-508. B. According to A.R.S. § 36-1904, the Department shall allow a speech-language pathology assistant to renew a license within 30 calendar days after the expiration date of the license by submitting to the Department: 1. The renewal application, including documentation required in subsection (A), and 2. Fees specified in R9-16-508. C. A licensee who does not submit a renewal application, documentation; and fees required in subsection (A) or (B), shall reapply for an initial license according to R9-16-502. D. If a licensee applies for a license according to R9-16-502 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 ETSNESLP documentation, and 2. Shall submit an attestation of continuing education according to R9-16-504, completed within the twenty- four months before the date of application.