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
Address / Name Change	465.26 KB
Arizona Statement of Citizenship or Alien Status	144.84 KB
Board Approved Evaluator Application	438.43 KB
Board Meeting Attendance Request	205.3 KB
Business Entity Registration and Application	1 MB
Chiropractic Assistant Notification of Hire / Termination (Employment)	2.5 MB
Chiropractic Assistant Registration / Transfer	1.4 MB
Chiropractic Assistant Training Requirements/Application and Sample Course Outline	503.31 KB
Continuing Education Renewal Application	475.97 KB
Continuing Education Application with Online Addendum	723.84 KB
Extern Application for Preceptorship	820.61 KB
Inactive Chiropractic Licensing Application	508.34 KB
Jurisprudence Exam Request (Board-Ordered)	280.08 KB
Licensure by Endorsement Application	1.43 MB
Licensure by Examination Application	1.46 MB
Licensure by Reciprocity Application	1.63 MB
Online Addendum for Course Applications	458.07 KB
Public Records Request	260.71 KB
Percutaneous Therapy Registration Application	202.03 KB
Reinstatement Application	185.9 KB
Retirement Status Application	958.39 KB
Specialty Application	696.98 KB
Verification of Licensure in Good Standing	67.2 KB
Verification Request Form	248.8 KB

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