Get Sanitarian Registration Renewal Application - Arizona Department ... - Azdhs

Renewing your sanitarian registration in Arizona requires careful attention to detail in filling out the application form. This guide provides clear, step-by-step instructions to help you complete the Sanitarian Registration Renewal Application online confidently.

Follow the steps to successfully complete your application.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Review the current information section. Ensure that your name, address, telephone number, email, and Arizona Registered Sanitarian number are correct. Update any inaccurate information.
3. Answer the required questions. For each question, select the applicable box. If you answer 'yes' to any of the questions, be prepared to provide detailed narratives regarding denials, suspensions, or civil cases.
4. In the documentation/description of continuing education section, list your completed 12 hours of continuing education. Provide the course name, description, the organization that provided it, the completion dates, and total CE hours.
5. If available, attach copies of supporting documentation for your continuing education hours to facilitate processing and verification.
6. Affirm the truthfulness of your application by signing and dating the form.
7. Submit the completed application along with the $10.00 renewal fee as a check or money order made payable to the Treasurer – State of Arizona to the provided address. Ensure it is post-marked by the deadline to avoid expiration.
8. Once submitted, you may save any changes or print a copy of the completed application for your records.

Complete your Sanitarian Registration Renewal Application online today to ensure your registration remains active.