1. A. License by endorsement. An applicant who meets the requirements specified under A.R.S. § 32-3274 for a license by endorsement shall submit a completed application packet and the following:

   1. 1. A statement by the applicant certifying all information submitted in support of the application is true and correct;
   2. 2. The license application fee required under R4-6-215;
   3. 3. The applicant’s name, date of birth, social security number, and contact information;
   4. 4. Each name or alias previously or currently used by the applicant;
   5. 5. Verification of any current or previous licensure or certification ever held in the practice of behavioral health;
   6. 6. A list of every entity for which the applicant has worked during the last seven years;
   7. 7. A report of the results of a query of the National Practitioner Data Bank;
   8. 8. Documentation required under A.R.S. § 41-1080(A) showing the applicant’s presence in the U.S. is authorized under federal law;
   9. 9. A complete and legible fingerprint card for a state and federal criminal history background check and payment as prescribed under R4-6-215 if the applicant has not previously submitted a full set of fingerprints to the Board, or verification that the applicant holds a current fingerprint card issued by the Arizona Department of Public Safety;
   10. 10. The name of all jurisdictions where the applicant is certified or licensed in the practice of behavior health by a state or federal regulatory entity and has been for at least one year;
   11. 11. Verification the applicant has passed a nationally recognized licensing examination for the behavioral health discipline in which the applicant seeks licensure;

   12. 12. A verification of each certificate or license identified in subsection (A)(10) by the state or federal regulatory entity issuing the certificate or license that includes the following:

       1. a. The certificate or license number issued to the applicant by the state or federal regulatory entity;
       2. b. The issue and expiration date of the certificate or license;
       3. c. Whether the applicant has been the subject of disciplinary proceedings by a state or federal regulatory entity;
       4. d. Whether the certificate or license was ever surrendered to avoid discipline; and
       5. e. Whether the certificate or license is active and in good standing;

   13. 13. If applying at a practice level listed in A.R.S. § 32-3274(B), include:

       1. a. An official transcript as prescribed in R4-6-301(6); and
       2. b. If applicable, a foreign degree evaluation prescribed in R4-6-216 or R4-6-401; and
   14. 14. Documentation of completion of the Arizona Statutes/Regulations Tutorial.

2. B. License by universal recognition. An applicant who meets the requirements specified under A.R.S. § 32-4302 for a license by universal recognition shall submit:

   1. 1. An application provided by the Board;
   2. 2. A list of all states in which the applicant is currently and has been licensed for at least one year and certification from the licensing states that the applicant’s license is in good standing;
   3. 3. Proof of Arizona residency;
   4. 4. A completed and legible fingerprint card for a state and federal criminal history background check and payment as prescribed under R4-6-215 if the applicant has not previously submitted a full set of fingerprints to the Board, or verification that the applicant holds a current fingerprint card issued by the Arizona Department of Public Safety;
   5. 5. Verification the applicant has passed a nationally recognized licensing examination for the behavioral health discipline in which the applicant seeks licensure;
   6. 6. The license application fee required under R4-6-215; and
   7. 7. Documentation of completion of the Arizona Statutes/Regulations Tutorial.

3. C. Privilege to practice. An applicant who meets the requirements specified under A.R.S. § 32-3306, Section 4, for a privilege to practice professional counseling shall submit:

   1. 1. An application provided by the Board;
   2. 2. Documentation confirming the applicant notified the Commission the applicant is seeking the privilege to practice in a remote state or states;

   3. 3. A list of all states in which the applicant is currently or has been licensed or granted a privilege to practice and certification from the licensing states that the applicant’s license is:

      1. a. An independent level license to practice counseling,
      2. b. Valid,
      3. c. Unencumbered, and
      4. d. Has not been restricted or encumbered within the previous two years;
   4. 4. Identification of the applicant’s home state;
   5. 5. A completed and legible fingerprint card for a state and federal criminal history background check and payment as prescribed under R4-6-215 if the applicant has not previously submitted a full set of fingerprints to the Board, or verification that the applicant holds a current fingerprint card issued by the Arizona Department of Public Safety;
   6. 6. Documentation of completion of the Arizona Statutes/Regulations Tutorial; and
   7. 7. The application fee required under R4-6-215.

4. D. Multi-state license. An applicant who meets the requirements specified under A.R.S. § 32-3295, Section 4, for a multistate license in social work shall submit:

   1. 1. An application provided by the Board;
   2. 2. Identification of the applicant’s home state;
   3. 3. A completed and legible fingerprint card for a state and federal criminal history background check and payment as prescribed under R4-6-215 if the applicant has not previously submitted a full set of fingerprints to the Board, or verification that the applicant holds a current fingerprint card issued by the Arizona Department of Public Safety;
   4. 4. Documentation of completion of the Arizona Statutes/Regulations Tutorial; and
   5. 5. The application fee required under R4-6-215.

Historical Note

New Section made by exempt rulemaking at 10 A.A.R. 2700, effective July 1, 2004 (Supp. 04-2). Amended by exempt rulemaking at 11 A.A.R. 2713, effective June 27, 2005 (Supp. 05-2). Amended by exempt rulemaking at 14 A.A.R. 2714, effective June 6, 2008 (Supp. 08-2). Amended by final exempt rulemaking pursuant to Laws 2015, Chapter 154, § 10, at 21 A.A.R. 2630, effective November 1, 2015 (Supp. 15-4). Amended by final exempt rulemaking pursuant to Laws 2015, Chapter 154, § 10, at 22 A.A.R. 3238, effective November 1, 2016 (Supp. 16-4). Amended by final rulemaking at 24 A.A.R. 3369, effective January 12, 2019 (Supp. 18-4). Amended by final rulemaking at 26 A.A.R. 2881, effective January 3, 2021 (Supp. 20-4). Amended by final rulemaking at 31 A.A.R. 3032 (September 26, 2025), effective November 2, 2025 (Supp. 25-3).