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

If your original 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]

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  

Frequently used forms:

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