1. (a) Unless otherwise indicated, an applicant must submit all required information and documentation of credentials on department-approved forms.

2. (b) An applicant for an assistant in audiology license must submit the following required documentation:

   1. (1) a completed application on a department-approved form;
   2. (2) a Supervisory Responsibility Statement Form or information completed by the proposed department-approved supervisor who agrees to accept responsibility for the services provided by the assistant and signed by both the applicant and the proposed department-approved supervisor or submitted in a manner prescribed by the department;
   3. (3) certification on the application that the applicant is at least 18 years old;
   4. (4) high school diploma or equivalent;
   5. (5) an original or certified copy of the Council for Accreditation of Occupational Hearing Conservation (CAOHC) certificate indicating that the applicant has completed the required CAOHC training and passed the required examination;
   6. (6) proof of successfully completing the Texas Jurisprudence Examination under §111.23; and
   7. (7) the initial application fee required under §111.160.
3. (c) An applicant for an assistant in audiology license must submit a completed legible set of fingerprints, on a form prescribed by the department, to the Department of Public Safety for the purpose of obtaining criminal history record information. An applicant must successfully pass a criminal history background check.
4. (d) An applicant must complete all licensing requirements within one year from the date the application was submitted. After that year an applicant will be required to submit a new application and all required materials in addition to paying a new application fee.

Source Note:The provisions of this §111.95 adopted to be effective October 1, 2016, 41 TexReg 4441.