Retire a PT License or PTA Certificate
If you wish to retire your AZ license or certificate, complete this form and upload to a "retire" service request through your eLicensing portal. NOTE, retiring a license/certificate indicates you are no longer working as a PT/PTA in AZ or elsewhere.
Small Business Bill of Rights
State Ombudsman - Citizens' Aide
Substance Abuse Recovery Program Guidelines
Substantive Policy Statement Compact Privilege Renewal and AZ Law Exam
Surprise Out of Network Dispute Resolution Information
Testing Dates & Deadlines 2024
Testing eligibility requires an application that is paid, submitted, reviewed, and deemed sufficient (including 3rd party documents).
Third Party Verification
DO NOT USE this form if you have ever been a licensed PT or certified PTA in Arizona. Previous or current AZ licensed PTs and certified PTAs must log into eLicensing to submit a Service Request for a license verification to be sent to another licensing board. If you have trouble logging into eLicensing contact staff.
USE THIS FORM ONLY if you are a 3rd Party entity requesting verification of an Arizona licensed PT or certified PTA. Complete this form and submit with payment to request an official verification of licensure to be sent to another licensing board or college/university.