The renewal applicant shall submit:

1. (a) Photocopies of any current licenses, certifications or other documents showing authorization to practice chiropractic in any other jurisdiction, if not previously submitted to the board;

2. (b) Documentation of having met the continuing education requirements of Ch 404 in the form of:

   1. (1) One or more transcripts issued by the school or college which sponsored the course; or

   2. (2) One or more certifications or vouchers of course attendance stating:

      1. a. The name of the renewal applicant;
      2. b. The title of the course;
      3. c. The name of the sponsor of the course;
      4. d. The beginning and ending hours and dates of the course;
      5. e. The location of the course;
      6. f. The continuing education hours credited by the sponsor of the course; and
      7. g. The score or grade given to the renewal applicant, if any; and
3. (c) If the renewal applicant’s disability requires the applicant to fulfill the continuing education requirement entirely by electronic participation, a reasonable accommodation request in the form of a statement describing the disability and how the disability prevents the renewal applicant from fulfilling any of the continuing education requirement through attendance at courses in the presence of the instructor; and
4. (d) If the renewal applicant has been certified or re-certified in a specialty since the applicant's last renewal of licensure, a copy of the front and back of the certificate.

Source. #8739, eff 10-11-06, EXPIRED: 10-11-14 New. #12107, INTERIM, eff 2-21-17, EXPIRED: 8-20-17 New. #12431, eff 12-8-17