A. A certificate holder shall notify the Department in writing, within 30 calendar days after the effective date of a change in:
- 1. The certificate holder’s residential address, mailing address, or email address, including the new residential address, mailing address, or email address;
- 2. The certificate holder’s name; or
- 3. The certificate holder’s employer, including the name and address of the new employer.
B. A certificate holder notifying the Department of a name change according to subsection (A)(2) shall request a revised certificate issued with the certificate holder’s new name by submitting to the Department:
1. An application for a revised certificate, in a Department-provided format, that includes:
- a. The certificate holder’s name and address as included in Department records,
- b. The certificate holder’s certificate number and expiration date,
- c. The certificate holder’s new name, and
- d. The certificate holder’s signature and date of signature;
- 2. A copy of the legal document establishing the certificate holder’s new name; and
- 3. The revised certificate fee in R9-16-623.
- C. A certificate holder may submit to the Department, either as a separate written document or as part of the renewal application, a signed and dated request to transfer to inactive status or retirement status under A.R.S. § 32-2816(F).
Historical Note
New Section made by final expedited rulemaking at 25 A.A.R. 2409, effective August 27, 2019 (Supp. 19-3). Amended by final expedited rulemaking at 31 A.A.R. 672 (February 28, 2025), with an immediate effective date of February 4, 2025 (Supp. 25-1).