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

   1. 1. The certified CHW’s home address, telephone number, or e-mail address, including the new home address, telephone number, or e-mail address; and

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

      1. a. Marriage certificate,
      2. b. Divorce decree, or
      3. c. Other legal document establishing the certified CHW’s new name.

2. B. A certificate holder may obtain a duplicate certificate by submitting to the Department a written request for a duplicate certificate in a Department-provided format that includes:

   1. 1. The certified CHW’s name and address,
   2. 2. The certified CHW’s certification number and expiration date,
   3. 3. The certified CHW’s signature and date of signature, and
   4. 4. A duplicate certificate fee specified in R9-16-810.

Historical Note

New Section made by final rulemaking at 28 A.A.R. 2552 (September 30, 2022), effective November 7, 2022 (Supp. 22-3).