R9-9B-204. Application for a Cremationist License for Cremation through Combustion, Alkaline Hydrolysis, or Natural Organic Reduction

A. An individual is eligible for licensure as a cremationist if the individual meets: 1. The requirements in A.R.S. § 32-1343 or 32-1394.01, as applicable; or 2. The criteria in A.R.S. § 32-4302(A). B. Except as provided in subsection (C), an applicant for a license to provide cremation through combustion, alkaline hydrolysis, or natural organic reduction shall submit to the Department an application that contains: 1. The following in a Department-provided format: a. The applicant’s name, residential address, email address, and telephone number; b. The applicant’s mailing address, if different from the residential address; c. The applicant’s Social Security Number, as required under A.R.S. §§ 25-320 and 25-502; d. The applicant’s date of birth; e. The applicant’s current employment in the funeral industry, if applicable, including: i. The employer’s name, ii. The applicant’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; f. Whether the applicant is a U.S. military veteran or the spouse of an individual on active duty in the U.S. military; g. By which of the following methods of cremation the applicant is planning to provide cremation of human remains: i. Combustion, ii. Alkaline hydrolysis, or iii. Natural organic reduction; h. Whether the applicant has a current license or certificate as a cremationist in another state and, if so, for each state: i. The state of licensure or certification, ii. Date of initial licensure or certification, and iii. The applicant’s professional license or certification number; i. Whether the applicant has: i. Had a professional license or certificate suspended, revoked, or had disciplinary action taken against the professional license or certificate; or ii. Voluntarily surrendered a professional license or certificate in lieu of disciplinary action; j. Whether the applicant has ever been convicted of or entered into a plea of no contest to a felony or a misdemeanor in this or another state and, if so; i. The date of the conviction, ii. The state or jurisdiction of the conviction, iii. An explanation of the crime of which the applicant was convicted or entered into a plea of no contest to, and iv. The disposition of the case; k. Whether the applicant agrees to allow the Department to submit supplemental requests for information under R9-9B-102(C)(3); l. An attestation that the information and documentation submitted as part of the application are true and accurate; and m. The applicant’s signature and date of signing; 2. If the applicant has had a professional license or certificate suspended, revoked, or surrendered, or had disciplinary action taken against the professional license or certificate within the previous five years, documentation that includes: a. The date of the disciplinary action, suspension, revocation, or surrender; b. The state or nationally accredited certifying body that issued the disciplinary action, suspension, or revocation, or to which the applicant surrendered the license or certificate; and c. An explanation of the disciplinary action, suspension, revocation, or surrender; 3. If the applicant is currently ineligible for licensing or certification in any state because of a license revocation or suspension, documentation that includes: a. The date of the ineligibility for licensing or certification, b. The state or jurisdiction of the ineligibility for licensing or certification, and c. An explanation of the ineligibility for licensing or certification; 4. Documentation for the applicant that complies with A.R.S. § 41-1080; 5. For the Department’s criminal history check authorized in A.R.S. §§ 32-1343(B) and 1394.01(B), the applicant’s fingerprints on a fingerprint card that includes: a. The applicant’s first name; middle initial, if applicable; and last name; b. The applicant’s signature; c. If different from the applicant, the signature of the individual physically rolling the applicant’s fingerprints; d. The applicant’s address; e. If applicable, the applicant’s surname before marriage and any names previously used by the applicant; f. The applicant’s date of birth; g. The applicant’s Social Security number; h. The applicant’s citizenship status; i. The applicant’s gender; j. The applicant’s race; k. The applicant’s height; l. The applicant’s weight; m. The applicant’s hair color; n. The applicant’s eye color; and o. The applicant’s place of birth; 6. Documentation that the applicant completed a crematory certification program, specific to the method of cremation specified according to subsection (B)(1)(g), issued by: a. The manufacturer of a type of retort used for the method of cremation, or b. An accredited organization that provides instruction for crematory operation; and 7. The applicable fees in R9-9B-103. C. If an applicant for a license to provide cremation through combustion, alkaline hydrolysis, or natural organic reduction may be eligible for licensing under A.R.S. § 32-4302(A), the applicant shall submit to the Department an application that contains: 1. The information and documentation required in subsections (B)(1) through (5); 2. Documentation of the current license or certificate as a cremationist providing cremation by the method specified according to subsection (B)(1)(g) issued to the applicant by each state in which the applicant holds the license or certification; 3. Documentation, in a Department-provided format, verifying the applicant’s license or certification and the basis for license or certification approval, completed by a representative of each state in which the applicant holds a license or certification; 4. A statement, signed and dated by the applicant, attesting that the applicant: a. Has been licensed or certified as a cremationist to provide cremation by the method specified according to subsection (B)(1)(g) in another state for at least one year; b. Has met minimum education requirements and, if applicable, work experience and clinical supervision requirements, according to A.R.S. § 32-4302(A)(3); c. Has not voluntarily surrendered a license or certification in any other state or country while under investigation for unprofessional conduct; and d. Does not have any complaint, allegation, or investigation pending before another regulatory entity in another state or country related to unprofessional conduct; and 5. The applicable fees in R9-9B-103. D. If the applicant’s name on any documents submitted to the Department according to subsection (B) or (C) does not match the applicant’s current name, the applicant shall submit to the Department, as part of an application, documentation, such as a marriage certificate, divorce decree, or court order, linking the names. E. The Department shall approve or deny an individual’s application for a license, specific to a method of cremation, according to R9-9B-102.