This spreadsheet can be used when submitting individual paycheck stubs to document 2080 hours worked.

If your original ALM Certificate or NCA license has been lost or destroyed, please complete the Request for a Copy of Original Certificate or License form. You will pay the $91.50 fee at nciapay.az.gov and select "Issuance Fee".  You will be emailed a receipt.  After you receive your receipt, please email your form and your receipt to [email protected]  **NOT USED FOR CAREGIVER CERTIFICATES**

Create your account in the Applicant Portal

Choose:  "New user?  Apply Now"

For Administrator License Requirements, please review all of Article 2 of the Board Rules found at: https://nciaboard.az.gov/about/board-directory-rules  

Create your account in the Applicant Portal

Choose:  "New user?  Apply Now"

To apply for a Temporary Administrator or Manager License, create your account in the Applicant Portal  Choose:  "New user?  Apply Now"

Letter of Intent forms for Temporary Administrator and Temporary Manager are found on page 2 at Resources