Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 16 - DEPARTMENT OF HEALTH SERVICES - OCCUPATIONAL LICENSING › Article 4 - REGISTRATION OF ENVIRONMENTAL HEALTH SANITARIANS › Section R9-16-406 - Application for Renewal Registration

Current through Register Vol. 30, No. 28, July 12, 2024
A. Except as provided in
				R9-16-404(D),
				a registered environmental health sanitarian shall submit an application packet
				for registration renewal on or before December 31 of each calendar
				year.
B. A registered environmental
				health sanitarian who does not submit a renewal application packet by December
				31 has a grace period until February 15 to submit a renewal application
				packet.
C. A registered
				environmental health sanitarian, who does not submit a renewal application
				packet by February 15, shall not practice as a registered environmental health
				sanitarian.
D. By December 31 of
				each calendar year, an applicant shall submit to the Department a renewal
				application packet containing:
1. The
				following information in a Department-provided format:
a. The applicant's name, address, e-mail
				address, and telephone number;
b.
				The applicant's environmental health sanitarian registration number;
c. Whether the applicant, since the applicant
				last submitted an application packet or renewal application packet, has had a
				license as a sanitarian suspended or revoked by a state or jurisdiction or
				entered into a consent agreement with another jurisdiction;
d. If the applicant has had a license as a
				sanitarian suspended or revoked or entered into a consent agreement with
				another jurisdiction, the:
i. Reason for the
				suspension, revocation, or consent agreement;
ii. Date of the suspension, revocation, or
				consent agreement; and
iii. Name,
				address, and telephone number of the licensing agency that suspended, revoked,
				or entered into a consent agreement;
e. Whether the applicant, since the applicant
				last submitted a renewal application packet, has been convicted of a felony or
				a misdemeanor related to the applicant's employment or occupation as a
				sanitarian in this state or another jurisdiction;
f. If the applicant has been convicted of a
				felony or a misdemeanor as stated according to subsection (e):
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, and
iv. The disposition of the case;
g. Whether the applicant requested
				to defer continuing education due to a personal or immediate family member's
				illness according to
				R9-16-404(B);
h. Except for a registered environmental
				health sanitarian in
				R9-16-404(A),
				for each continuing education course completed during the previous 12 months,
				the following:
i. The course title,
ii. A course description,
iii. The name of the individual providing the
				continuing education course,
iv.
				The date the continuing education course was completed, and
v. The total number of continuing education
				hours attended;
i.
				Whether the applicant has been a registered environmental health sanitarian for
				less than 12 months according to
				R9-16-404(A)(1);
j. An attestation that:
i. The applicant affirms that the continuing
				education courses specified according to subsection (h) are applicable and
				consistent with the Department's approved continuing education courses or with
				the practice of a registered environmental sanitarian described in
				R9-16-402(C);
ii. The applicant
				authorizes the Department to verify all information provided in the renewal
				application packet; and
iii. The
				information submitted as part of the renewal application packet is true and
				accurate; and
k. The
				applicant's signature and date of signature;