- A. From the date of issuance, a CHW certification is valid for two years.
B. At least 30 calendar days before the expiration date of a certification, an applicant shall submit to the Department:
1. A renewal application in a Department-provided format that contains:
- a. The applicant’s name, home address, telephone number, and e-mail address;
- b. The applicant’s certification number and date of expiration;
- c. Since the previous certification application, whether the applicant has been convicted of a felony or a misdemeanor involving moral turpitude in this or another state;
d. If the applicant was convicted of a felony or a misdemeanor involving moral turpitude:
- 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 has had, within two years before the renewal application date, a certificate suspended or revoked by any state;
f. An attestation that:
- i. The applicant has completed 24 hours of continuing education required in R9-16-806 and documentation of the completed continuing education is available upon the Department’s request;
- ii. The applicant authorizes the Department to verify all information provided in the renewal application packet;
- iii. The information submitted as part of the renewal application packet is true and accurate; and
- iv. The applicant’s signature and date of signature.
- 2. A fee specified in R9-16-810.
- C. Documentation of an applicant’s conviction of a felony or a misdemeanor involving moral turpitude in this or another state that includes the information specified in subsection (A)(1)(d) issued by the prosecuting state or jurisdiction.
- D. An applicant who does not submit the documentation and the fee in subsection (B) shall apply for a new certificate in R9-16-804.
- E. The Department shall review the application and required documentation for renewal certification as a CHW according to R9-16-808 and Table 8.1.
Historical Note
New Section made by final rulemaking at 28 A.A.R. 2552 (September 30, 2022), effective November 7, 2022 (Supp. 22-3).