R9-16-705. Changes Affecting a Certificate; Request for a Revised/Duplicate Certificate

A. A laser technician shall notify the Department in writing, within 30 calendar days after the effective date of a change in: 1. The laser technician’s residential address, mailing address, or email address, including the new residential address, mailing address, or email address, as applicable; 2. The laser technician’s name, including: a. The following information, in a Department-provided format: i. The laser technician’s name, as recorded by the Department, and the laser technician’s current certificate number and expiration date; ii. The laser technician’s new name; and iii. The laser technician’s signature and date of signature; b. A copy of the legal document establishing the laser technician’s new name; and c. The fee required in R9-16-707 for a revised/duplicate certificate that reflects the laser technician’s name change; or 3. The laser technician’s employer, including the name and address of the new employer. B. A laser technician may request to add a cosmetic procedure to the laser technician’s certificate by submitting to the Department an application packet that includes: 1. The following information in a Department-provided format: a. The laser technician’s name, address, telephone number, and email address; b. The laser technician’s current certification number; c. Each type of cosmetic procedure that the laser technician is requesting be added to the laser technician’s certificate; d. Attestation that all the information submitted as part of the application is true and accurate; and e. The laser technician’s signature and date of signature; 2. A copy of the document issued to the laser technician by the supervising health professional or laser technician, consistent with requirements in 9 A.A.C. 7, Article 14, verifying the successful completion of the laser technician’s 24 hours of hands-on training; 3. A log, in a Department-provided format, documenting 10 procedures and 24 hours of hands-on training for each type of cosmetic procedure specified according to subsection (B)(1)(c); and 4. The fee required in R9-16-707 for a revised/duplicate certificate that reflects the added cosmetic procedure. C. The Department shall approve or deny a request to add a cosmetic procedure to the laser technician’s certificate according to R9-16-706. D. In addition to the circumstances in subsections (A) and (B), a laser technician may obtain a revised/duplicate certificate by submitting to the Department: 1. A written request for a revised/duplicate certificate, in a Department-provided format, that includes: a. The laser technician’s name and address, b. The laser technician’s certificate number, and c. The laser technician’s signature and date of signature; and 2. The revised/duplicate certificate fee in R9-16-707.