Ariz. Admin. Code § R9-25-301 - Application for Certification (Authorized by A.R.S. Sections 36-2202(A)(3) and (4) and 36-2204(1) and (3))
A. To apply for certification as a training program, an applicant shall submit an application to the Department, in
a Department-provided format, including: 7.9. Attestation
that the applicant will comply with all requirements in A.R.S. Title 36, Chapter 21.1 and 9 A.A.C. 25;
8.10. Attestation that all information required as part of the application has been submitted
and is true and accurate; and
9.11. The signature or electronic
signature of the applicant's chief administrative officer or the chief administrative officer's designated representative and date of signature or
electronic signature.
1. The applicant's name, address, and telephone number;
2. The name, telephone number, and e-mail address of the applicant's chief administrative officer;
3. The name of each course the applicant plans to provide;
4.
Attestation that the applicant has the equipment and facilities that meet the requirements established according to A.R.S. § 362204 and
available through the Department at www.azdhs.gov/ems-regulatory-references for
the courses specified in subsection (A)(3);
5. The name, telephone number, and e-mail address of the
training program medical director;
6. The name, telephone number, and e-mail address of the training
program director;
7. If the applicant is a business organization, an attestation that business
organization is active and in good standing with the Arizona Corporation Commission;
8. If the applicant
is an educational institution, an attestation that the educational institution is in good standing with the Arizona School Boards Association or the
Arizona Board of Private Postsecondary Education;
B. An applicant may submit to the Department a copy of an accreditation
report if the applicant is currently accredited by a national accrediting organization.
C. The Department
shall certify a training program if the applicant:
1. Has not operated a training program that has been decertified
by the Department within five years before submitting the application,
2. Submits an application that is
complete and compliant with requirements in this Article, and
3. Has not knowingly provided false
information on or with an application required by this Article.
D. The Department:
1. Shall assess a training program at least once every 24 months after certification to determine ongoing
compliance with the requirements of this Article; and
2. May inspect a training program according to
A.R.S. §
41-1009:
a. As part of the substantive review time-frame required in A.R.S. §§
41-1072 through 41-1079, or
b. As necessary to determine compliance with the requirements of this
Article.
E. The Department shall approve or deny an application under this Article
according to Article 12 of this Chapter.
F. A training program certificate is valid only for the name of
the training program certificate holder and the courses listed by the Department on the certificate and may not be transferred to another
person.
Notes
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