Public Record

Text field

Thank you for choosing to pay for your service with the Board’s online payment option. This form is to request a copy of an individual's license file. 

Please note: Only disciplinary outcomes will be considered public record.

Fields marked with an asterisk* are required and must be completed prior to clicking Pay Now.

Please enter applicant details as requested below:

Customer Information
Product Options

The mailing list is available in Excel and contains only the public information for the active licensees (mailing address, license number and expiration date, NOT emails)
The list will be emailed to you.

  1. Disciplinary action older than 5 years (pursuant to A.R.S. § 32-3214)
  2. Complaints dismissed with a non-disciplinary consent agreement older than 5 years (pursuant to A.R.S. § 32-3214)
  3. Complaints dismissed with a letter of concern
  4. Dismissed complaints

Payment Detail