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Resources

Request for a Copy of Original Certificate or License

Forms

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**

Temporary License

Forms

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

Temporary Manager Certificate Requirements are found in Article 4 of the Board Rules found at: https://nciaboard.az.gov/about/board-directory-rules
Temporary Manager Certificate Requirements are found in Article 2 of the Board Rules found at: https://nciaboard.az.gov/about/board-directory-rules