(a) The fees for various services of the Arkansas State Board of Physical Therapy are as follows:

1. (1) Physical therapists:

   1. (A) Application fee, fifty dollars ($50.00);
   2. (B) Endorsement (reciprocity), one hundred dollars ($100);
   3. (C) Annual renewals, seventy dollars ($70.00);
   4. (D) Late fee, one hundred dollars ($100);
   5. (E) Jurisprudence examination fee, ten dollars ($10.00); and
   6. (F) Reinstatement fee, seventy-five dollars ($75.00);

2. (2) Physical therapist assistants:

   1. (A) Application fee, fifty dollars ($50.00);
   2. (B) Endorsement (reciprocity), one hundred dollars ($100);
   3. (C) Annual renewals, forty-five dollars ($45.00);
   4. (D) Late fee, one hundred dollars ($100);
   5. (E) Jurisprudence examination fee, ten dollars ($10.00); and
   6. (F) Reinstatement fee, fifty dollars ($50.00); and

3. (3) Miscellaneous fees and penalties:

   1. (A) Penalty for late continuing education, fifty dollars ($50.00) per month; and
   2. (B) Compact privilege, fifty dollars ($50.00).

(b) Initial fee waiver for eligible applicants.

1. (1) Pursuant to Acts 2021, No. 725, an eligible applicant may receive a waiver of the initial license fee.

2. (2) Eligible applicants are applicants who:

   1. (A) Are receiving assistance through the:

(i) Arkansas, or current state of residence equivalent, Medicaid Program;

1. (ii) Supplemental Nutrition Assistance Program;

   1. (iii) Special Supplemental Nutrition Program for Women, Infants, and Children;

      1. (iv) Temporary Assistance for Needy Families Program; or
      2. (v) Lifeline Assistance Program;
   2. (B) Were approved for unemployment within the last twelve (12) months; or
   3. (C) Have an income that does not exceed two hundred percent (200%) of the federal poverty income guidelines.

2. (3) Applicants shall provide documentation showing their receipt of benefits from the appropriate state agency:

   1. (A) For Medicaid, Supplemental Nutrition Assistance Program, Special Supplemental Nutrition Program for Women, Infants, and Children, Temporary Assistance for Needy Families Program, or Lifeline Assistance Program, documentation from the Department of Human Services, or current state of residence equivalent agency;
   2. (B) For unemployment benefits approval in the last twelve (12) months, the Division of Workforce Services, or current state of residence equivalent agency; or
   3. (C) For proof of income, copies of all Internal Revenue Service forms indicating applicant’s total personal income for the most recent tax year, e.g., “W2”, “1099”, etc.
3. (4) Applicants shall attest that the documentation provided under subdivision (b)(3) of this section is a true and correct copy, and fraudulent or fraudulently obtained documentation shall be grounds for denial or revocation of license.