1. A. A licensee shall submit to the Department a change application in a Department-provided format within 30 calendar days after the effective date of a change in:

   1. 1. The licensee’s home address or email address, including the new home address or email address;

   2. 2. The licensee’s name, including a copy of one of the following with the licensee’s new name:

      1. a. Marriage certificate,
      2. b. Divorce decree, or
      3. c. Other legal document establishing the licensee’s new name; and
   3. 3. The place or places, including address or addresses, where the licensee engages in the practice of audiology or speech-language pathology.

2. B. A licensee may obtain a duplicate license updating the information requested in subsection (A) by submitting to the Department a change application in a format provided by the Department that includes:

   1. 1. The licensee’s name and address,
   2. 2. The licensee’s license number and expiration date,
   3. 3. The licensee’s signature and date of signature, and
   4. 4. The fee specified in R9-16-216.

Historical Note

New Section R9-16-215 renumbered from R9-16-210 and amended by exempt rulemaking at 20 A.A.R. 1998, effective July 1, 2014 (Supp. 14-2).

Amended by final expedited rulemaking at 26 A.A.R. 816, with an immediate effective date of April 8, 2020 (Supp. 20-2). Amended by final expedited rulemaking at 32 A.A.R. 521 (February 27, 2026, Issue 9), with an immediate effective date of February 5, 2026 (Supp. 26-1).