R9-20-103. Application and Renewal

A. An applicant applying to become a DUI services provider shall submit to the Department an application packet that contains: 1. An application in a format provided by the Department that includes: a. The applicant’s name; b. The applicant’s address and telephone number; c. The applicant’s e-mail address; d. The name, telephone number, and e-mail address of the individual acting on behalf of the applicant according to R9-20-102, if applicable; e. The name under which the applicant plans to do business, if different from the applicant’s name; f. The address and telephone number of each facility from which DUI services will be provided; g. Whether the applicant is seeking approval to provide: i. DUI screening face-to-face, ii. DUI screening electronically, iii. DUI education in a classroom setting, iv. DUI education electronically, or v. DUI treatment; and h. The applicant’s signature and the date signed; 2. If providing DUI screening, a copy of the: a. Standardized instrument for measuring alcohol dependency or substance abuse required in R9-20- 108(C)(4), and b. Policies and procedures required in R9-20-108(A); 3. If providing DUI education, a copy of the: a. DUI education pre-test required in R9-20-109(E)(1), b. DUI education information required R9-20- 109(E)(2), c. DUI education post-test required in R9-20- 109(E)(3), d. Policies and procedures required in R9-20-109(A), and e. Policies and procedures required in R9-20-109(F); 4. If providing DUI treatment, a description of the: a. Group counseling programs, as required in R9-20- 110(C)(2); and b. Policies and procedures required in R9-20-110(A); 5. The name and resume of the administrator; and 6. A copy of the applicant’s: a. U.S. Passport, current or expired; b. Birth certificate; c. Naturalization documents; or d. Documentation of legal resident alien status. B. For renewal, at least 60 days before the expiration of approval, a DUI services provider shall submit to the Department in a Department-provided format: 1. The DUI services provider’s approval number; 2. The information in subsection (A)(1); and 3. The documentation in subsection (A)(2) through (4), as applicable.