Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 26 - COMMISSION FOR THE DEAF AND THE HARD OF HEARING › Article 5 - INTERPRETER LICENSURE AND REGULATION › Section R9-26-502 - License Application

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				applicant for an original license shall submit to the Commission the following
				information, on an application form provided by the Commission:
1. Applicant's full name;
2. Applicant's Social Security
				number;
3. Applicant's home or
				business address;
4. Applicant's
				e-mail address;
5. Applicant's
				home, business, or mobile telephone number;
6. Applicant's birth date;
7. Any name by which the applicant has ever
				been known;
8. The start and end
				dates of the applicant's current certification cycle with RID, NAD, or BEI, as
				applicable;
9. Category of
				licensure for which application is made and if applicable, the class of legal
				or provisional interpreter license for which application is made;
10.
				Name of any state or foreign country in which the applicant is currently
				licensed or certified to practice as an interpreter, the license or certificate
				number, date issued, date of expiration, and a statement whether the license or
				certificate is or was the subject of discipline and if the answer is yes, a
				complete explanation of the discipline including date, nature of complaint, and
				discipline imposed;
11. A statement
				of whether the applicant has ever been denied a license or certificate to
				practice as an interpreter by a government licensing authority and if the
				answer is yes, a complete explanation of the denial including date, name of the
				government licensing authority, and reason for denial;
12. A statement of whether the applicant has
				ever been convicted of a felony or of an offense involving moral turpitude in
				this or any other jurisdiction and if the answer is yes, a complete explanation
				of the charge and place and date of conviction;
13. A statement of whether the applicant has
				been adjudicated insane or incompetent and if the answer is yes, a complete
				explanation including date and place of adjudication;
14. A statement of whether the applicant's
				NAD, RID, or BEI certification lapsed and if so, a complete explanation
				including date of and reason for the lapse;
15. A statement of whether the applicant's
				interpreter license from Arizona or another jurisdiction lapsed and if so, a
				complete explanation including date of and reason for the lapse;
16. A statement of whether the applicant's
				interpreter license from Arizona or another jurisdiction was subject to a
				complaint and if so, a complete explanation including date, allegation, and
				discipline imposed, if any;
17. A
				statement of whether the applicant's NAD, RID, or BEI certification was subject
				to a complaint and if so, a complete explanation including date, allegation,
				and discipline imposed, if any; and
18. A statement signed by the applicant
				verifying the truthfulness of the information provided and affirming that the
				applicant will comply with the NAD-RID Code of Professional Conduct.