Ariz. Admin. Code § 9-16-102

Current through Register Vol. 30, No. 50, December 13, 2024

Section R9-16-102 - Application for an Initial License

A. An applicant for an initial license to practice midwifery shall submit:

1. An application in a format provided by the Department that contains:

a. The applicant's name, address, telephone number, and e-mail address;

b. The applicant's Social Security Number, as required under A.R.S. §§ 25-320 and 25-502;

c. Whether the applicant has ever been convicted of a felony or a misdemeanor in this or another state or jurisdiction;

d. If the applicant was convicted of a felony or misdemeanor:

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;

e. Whether the applicant agrees to allow the Department to submit supplemental requests for information under R9-16-107(C)(2);

f. An attestation that information required as part of the application is true and accurate; and

g. The applicant's signature and date of signature;

2. Documentation for the applicant that complies with A.R.S. § 41-1080;

3. Documentation that demonstrates the applicant is 21 years of age or older if the documentation submitted in subsection (A)(2) does not demonstrate that the applicant is 21 years of age or older;

4. Current documentation of completion of training in:

a. Adult basic cardiopulmonary resuscitation through a course recognized by the American Heart Association, and

b. Neonatal resuscitation through a course recognized by the American Academy of Pediatrics or American Heart Association;

5. Documentation of a high school diploma, a high school equivalency diploma, an associate degree, or a higher degree;

6. Documentation that the applicant is certified by the North American Registry of Midwives as a Certified Professional Midwife;

7. Except as provided in subsection (B), a non-refundable application fee of $25; and

8. A non-refundable testing fee of $100 for a jurisprudence test administered by the Department.

B. An applicant is not required to submit the fee in subsection (A)(7) or (E)(1) if the applicant, as part of the application in subsection (A), submits an attestation that the applicant meets the criteria for waiver of licensing fees in A.R.S. § 41-1080.01.

C. The Department shall review an application for an initial license to practice midwifery according to R9-16-107 and Table 1.1.

D. If an applicant receives notification of eligibility to take the jurisprudence test, the applicant:

1. Shall take the jurisprudence test administered by the Department,

2. Shall provide proof of identity by a government-issued photographic identification card upon the request of the individual administering the jurisprudence test,

3. May take the jurisprudence test as many times as desired, within 180 calendar days after the date of the notification, without paying an additional testing fee, and

4. Shall score 80% or higher correct answers on the jurisprudence test to be eligible to receive an initial license to practice midwifery.

E. If an applicant scores 80% or higher correct answers on the jurisprudence test, the Department shall provide written notice to the applicant, within five working days after the date of the jurisprudence test, to submit to the Department:

1. Except as provided in subsection (B), a licensing fee of $25; and

2. The documentation required in subsection (A)(4) or (6), if the documentation of training required in subsection(A)(4) or certification required in subsection (A)(6) is not current.

F. The Department shall issue an initial license to practice midwifery within five working days after receiving the applicable documentation and licensing fee required in subsection (E).

G. The Department shall provide to an applicant a written notice of denial that complies with A.R.S. § 41-1092.03(A) and inform the applicant that the applicant may reapply under subsection (A) if the applicant does not:

1. Score 80% or higher correct answers on the jurisprudence test within 180 calendar days after the date of the notification of eligibility to take the jurisprudence test, or

2. Submit to the Department the applicable documentation and licensing fee required in subsection (D) within 120 calendar days after the date of the notification in subsection (D).

Ariz. Admin. Code § R9-16-102

Section repealed, new Section adopted effective March 14, 1994 (Supp. 94-1). Amended by final rulemaking at 8 A.A.R. 2896, effective June 18, 2002 (Supp. 02-2). Section R9-16-102 repealed; new Section R9-16-102 renumbered from R9-16-103and amended by exempt rulemaking at 19 A.A.R. 1805, effective July 1, 2013 (Supp. 13-2). Amended by final expedited rulemaking at 28 A.A.R. 1119, effective 5/4/2022.