State of Arizona

Forms

Some of the below forms are available to be filled and submitted via either Google Chrome, Mozilla Firefox or Microsoft Internet Explorer. Please open the form in one of those browsers and submit them online.

eForms:

Attachment	Size
Board-Approved Monitor and Evaluator Application	305.37 KB
Board-Approved Trainer Application	282.32 KB
Board Meeting Attendance Request for Continuing Education Credit	83.09 KB
Business Entity Registration and Application	1.2 MB
Continuing Education (CE) Course Renewal Application	357.9 KB
Continuing Education Course Application with Online Addendum	723.84 KB
Extern Application for Preceptorship	738.26 KB
Inactive / Retired Request	215.6 KB
Licensure By Examination Packet	1.54 MB
Licensure By Endorsement Packet	1.96 MB
Licensure By Universal Recognition Packet	2.01 MB
Online Addendum for Course Applications	458.07 KB
Public Records Request	42.59 KB
Percutaneous Therapy Registration Application	202.03 KB
Reinstatement Application	665.97 KB
Specialty Certificate Application	318.13 KB
Verification of Licensure in Good Standing	45.05 KB
Chiropractic Assistant Training Requirements/Application and Sample Course Outline	769.24 KB
License Verification Request.pdf	76.01 KB