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	458.62 KB
Board Approved Evaluator Application	246.17 KB
Board Approved Trainer Application	250.47 KB
Board Meeting Attendance Request	42.39 KB
Business Entity Registration and Application	1.2 MB
Continuing Education Renewal Application	475.97 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 Endorsement Application	1.43 MB
Licensure by Examination Application	1.46 MB
Licensure by Reciprocity Application	1.63 MB
Licensure by Universal Recognition Application	1.89 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