Cal. Code Regs. Tit. 16, § 1006 - Temporary Licenses for Military Spouses or Partners
(a)
Definitions. For the purposes of this section, the following definitions shall
apply:
(1) "License" shall include any
license, permit, or other comparable authority issued by the Board or an
original licensing jurisdiction to practice dentistry, practice under an
affiliated permit, or provide dental supportive procedures as a dental
auxiliary.
(2) "Disciplined" means
that the applicant's license has been placed on probation, revoked, suspended,
reproved, censured, reprimanded, restricted, limited, or conditioned.
(3) "Jurisdiction" shall mean a state,
district, or territory of the United States, or another country.
(4) "Disciplinary proceeding" shall mean any
proceeding or investigation under the authority of the licensing jurisdiction
pursuant to which licensee discipline may be imposed on the
applicant.
(5) "Provide dental
supportive procedures as a dental auxiliary" shall mean providing the services
within the scope of practice of a registered dental assistant, registered
dental assistant in extended functions, orthodontic assistant, or dental
sedation assistant as defined in Sections 1750.3, 1750.5, 1752.4, 1753.5,
1753.55, 1753.6, and of the Code, as applicable, and sections
1086 and
1087 of this Division, as
applicable.
(6) "Good standing"
shall mean that the applicant has not been disciplined, is not the subject of
an unresolved complaint or review procedure, and is not the subject of any
unresolved disciplinary proceeding.
(7) "Original licensing jurisdiction" shall
mean the jurisdiction agency or board that issued a license to the applicant
authorizing the applicant to practice within the same scope of practice for
which the applicant seeks a temporary license from the Board.
(8) "Affiliated permit" shall mean any permit
or endorsement associated with either a dentist license or physician and
surgeon license, as applicable, and issued by the Board to practice as an
elective facial cosmetic surgeon, oral and maxillofacial surgeon, or to
administer general anesthesia or moderate sedation to an adult and/or pediatric
patient, oral conscious sedation for adult patients, or pediatric minimal
sedation as specified in Sections
1638, 1638.1,
1646, 1646.1, 1646.2, 1646.9,
1647.1, 1647.2, 1647.3, 1647.18, 1647.19, 1647.30 and 1647.31 of the
Code.
(9) "Successfully complete"
shall mean that an applicant has achieved a criterion-referenced passing score
as defined in Section
1031.
(b) Application and Eligibility Requirements.
An applicant seeking a temporary license pursuant to section 115.6 of the Code
shall submit a completed application to the Board and meet all of the
requirements of this section and section 115.6 of the Code to be eligible for a
temporary license. A completed application shall include the following
information:
(1) The applicant's application
type and contact information, including:
(A)
Applicant's full legal name ((Last Name) (First Name) (Middle Name) and
optional (Suffix));
(B) Other
name(s) applicant has used or has been known by;
(C) Applicant's physical address;
(D) Applicant's mailing address, if different
than the applicant's physical address. The mailing address may be a post office
box number or other alternate address;
(E) Applicant's email address, if
any;
(F) Applicant's telephone
number;
(G) Applicant's Social
Security Number or Individual Taxpayer Identification Number;
(H) Applicant's birthdate (month, day, and
year); and
(I) Temporary License
Application Type (Dentist, Affiliated Permit, or Dental Supportive Procedures
as a Dental Auxiliary).
(2) The applicant shall disclose whether the
applicant is married to, or in a domestic partnership or other legal union
with, an active duty member of the Armed Forces of the United States who is
assigned to a duty station in California under official active duty military
orders. If the applicant answers in the affirmative, the applicant shall
provide the following documentation with the application:
(A) copy of certificate of marriage or
certified declaration/registration of domestic partnership filed with the
California Secretary of State or other documentary evidence of legal union with
an active duty member of the Armed Forces, and
(B) copy of the military orders establishing
their spouse or partner's duty station in California.
(3) The applicant shall disclose whether the
applicant holds a current, active and unrestricted license to practice
dentistry, practice within the scope of practice of an affiliated permit or
provide dental supportive procedures as a dental auxiliary in another state,
district, or territory of the United States, and whether such license is the
same type of license that the applicant is applying for with the Board. If the
applicant answers in the affirmative, the applicant shall provide written
verification from the applicant's original licensing jurisdiction that the
applicant's license is in good standing in that jurisdiction.
The verification shall include all of the following:
(A) the full legal name of the applicant and
any other name(s) the applicant has used or has been known by;
(B) the license type and number issued to the
applicant by the original licensing jurisdiction, and the relevant law(s) and
regulation(s) under which the license was issued;
(C) the name and location of the licensing
agency or entity;
(D) the issuance
and expiration date of the license; and
(E) information showing that the applicant's
license is currently in good standing.
(4) The applicant shall disclose whether the
applicant holds or has ever held any other license to practice dentistry or
provide dental supportive procedures as a dental auxiliary in another state,
district, or territory of the United States. If the applicant answers in the
affirmative, the applicant shall provide written verification from each of the
applicant's original licensing jurisdiction(s) that the applicant's license is
in good standing in that jurisdiction. The verification shall include all of
the following:
(A) the full legal name of the
applicant and any other name(s) the applicant has used or has been known
by;
(B) the license type and number
issued to the applicant by the original licensing jurisdiction;
(C) the name and location of the licensing
agency or entity;
(D) the issuance
and expiration date of the license;
(E) information showing the applicant's
license status.
(5) The
applicant shall furnish fingerprints to the Board in compliance with subsection
(d) to permit the Board to conduct a criminal history record check through the
California Department of Justice.
(6) For applicants seeking a temporary
license to practice as a dentist, the applicant shall furnish proof of
successful completion of the California law and ethics examination specified in
subsection (c). "Proof of successful completion" shall mean a copy of the
applicant's report or notice issued by the examination administrator PSI
Services LLC (PSI) that lists the applicant's name and indicates that the
applicant passed the examination.
(7) The following statement and notice,
signed and dated by the applicant:
I hereby attest that I meet all of the requirements for temporary licensure as set forth in Business and Professions Code Section 115.6(c)(1) through (5), including that I have not committed an act in any jurisdiction that would have constituted grounds for denial, suspension, or revocation of the license under the Business and Professions Code at the time the act was committed and I am aware that a violation of this paragraph may be grounds for the denial or revocation of a temporary license issued by the Board. I also attest to the fact that I have not been disciplined by a licensing entity in another jurisdiction and am not the subject of an unresolved complaint, review procedure, or disciplinary proceeding conducted by a licensing entity in another jurisdiction. I also understand that I will be required to furnish a full set of fingerprints for purposes of conducting a criminal background check. I further attest that the information submitted in this application is accurate, to the best of my knowledge.
Notice: Falsification or misrepresentation of any item or response on this application or any attachment hereto is grounds for denying the application. In addition, any temporary license issued after the application is processed will be immediately terminated upon a finding that the license holder provided substantively inaccurate information that would affect the person's eligibility for temporary licensure (Bus. & Prof. Code, § 115.6).
(c) Law
and Ethics Examination Requirements. Each applicant for a temporary license as
a dentist shall successfully complete the California law and ethics examination
administered by PSI specified in Section
1031.
(1) To take the examination, each applicant
shall submit a completed application for approval to test to the Board that
contains all of the following:
(A) full legal
name (first, last and middle);
(B)
social security number or individual taxpayer identification number;
(C) birth date;
(D) mailing address;
(E) telephone number;
(F) email address;
(G) a disclosure regarding whether the
applicant is requesting a reasonable accommodation pursuant to subdivision (b)
of Government Code Section
12944. The
applicant shall provide medical documentation consisting of a written document
with the name, license number, telephone number, date and signature of a
physician confirming the existence of the applicant's disability or medical
condition (as defined in Government Code section
12926) and
the need for the reasonable accommodation;
(H) the information required by paragraphs
(2) and (3) of subsection (b); and
(I) a certification, under penalty of
perjury, by the applicant that the information on the application is true and
correct.
(2) After
receipt of a completed application for approval to test, and upon the Board's
determination that the applicant has met the requirements of paragraphs (1) and
(2) of subdivision (c) of Section 115.6 of the Code, the Board shall mail a
written and dated notice of approval to test to the applicant and PSI. The
notice shall also contain the web site address, email address, telephone number
and mailing address for the applicant to contact PSI to schedule the
examination.
(3) Upon receipt of
written notice of approval to test from the Board, an applicant is responsible
for contacting PSI to schedule a test date and examination site location, and
paying PSI's nonrefundable fees to take the examination.
(d) Fingerprinting Requirements. All
applicants shall have met the fingerprinting requirements of this subsection
prior to issuance of a temporary license.
(1)
Subject to paragraph (3), all applicants must submit fingerprints through the
California Department of Justice's electronic fingerprint submission Live Scan
Service ("Live Scan") by completing the California Department of Justice Form
"Request for Live Scan Service," and submitting fingerprinting, through Live
Scan as described in this subsection.
(2) Each applicant shall take the completed
"Request for Live Scan Service" form to a Live Scan location to have their
fingerprints taken by the operator. The applicant will be required to pay all
fingerprint processing fees payable to the Live Scan operator, including the
Live Scan operator's "rolling fee," if any, and fees charged by the California
Department of Justice and the Federal Bureau of Investigation. For current
information about fingerprint background checks, and Live Scan locations,
please visit the Attorney General's website at:
https://oag.ca.gov/fingerprints.
(3) Applicants residing outside of California
who cannot be fingerprinted electronically through Live Scan in California must
have their fingerprints taken at a law enforcement agency in their state of
residence, using fingerprint cards. Applicants shall complete and mail two
fingerprint cards, together with the California Department of Justice and the
Federal Bureau of Investigation fingerprinting fees (either personal check
drawn on a U.S. bank, money order or certified check), payable to the "Dental
Board of California," to:
DENTAL BOARD OF CALIFORNIA
ATTENTION: LICENSING AND EXAMINATION UNIT
2005 EVERGREEN ST., SUITE 1550
SACRAMENTO, CA 95815
(e) Upon meeting the requirements in
subsection (b) and if no grounds for denial exist pursuant to Sections 115.6 or
480 of the Code, the Board shall issue to the applicant the applicable
temporary license, subject to the conditions set forth in subdivision (h) of
Section 115.6 of the Code.
(f) If
the applicant is seeking a temporary license from the Board to practice under
an affiliated permit, the applicant also shall either:
(1) Prior to or at the same time as the
applicant submits an application for the temporary license to practice under an
affiliated permit, apply for a temporary dentist license using the application
specified in subsection (b) for permits issued pursuant to Sections 1638.1,
1646.1, 1647.2, 1647.19, or 1647.31 of the Code; or
(2) Have a current, active, and unrestricted
license as a physician and surgeon from the Medical Board of California for
permits issued pursuant to Sections
1638 and 1646.9 of the
Code.
(g) No temporary
license for an affiliated permit shall issue until the applicant has been
issued a temporary dentist license or has obtained a license as a physician and
surgeon from the Medical Board of California, as applicable.
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.