Forms

Veterinarians - Pathways to Licensure

Attachment	Size
Veterinary Regular License Application Packet	533.8 KB
Veterinary Endorsement License Application Packet	421.4 KB
Licensure via Universal Recognition Application Packet	496.89 KB
Veterinary Specialty License Application Packet	570.98 KB
Veterinary Faculty License Application Packet	689.77 KB
Veterinary State Employee Application Packet	450.99 KB
2020 Veterinary State Exam Dates & Application Deadlines - THROUGH NOVEMBER 2020, THESE DATES ARE NOT APPLICABLE DUE TO COVID	70.24 KB
License Verification Request - Veterinarian - NO FEE DURING COVID STATE OF EMERGENCY	156.59 KB
Change of Address/Employment/Name	99.73 KB
Duplicate Wall License Request Form	231.92 KB

Certified Veterinary Technicians (CVT)

Attachment	Size
CVT Application Packet - DO NOT USE UNLESS YOU HAVE PASSED THE VTNE	454.4 KB
CVT Universal Recognition Certificate Application (for Arizona residents) during COVID-19 related processes	374.39 KB
CVT Address/Employment/Name Change Form	187.81 KB
CVT Certificate Verification Request (aka "letter of good standing")	106.09 KB
CVT Duplicate Wall Certificate Request Form	232.99 KB

Premises

Attachment	Size
Premises License Application	222.93 KB
Premises Inspection Report (check-list)	450.53 KB
Notice of Inspection Rights	147.43 KB
Small Business Bill of Rights	119.19 KB
Anesthesia Log example	26.33 KB
Controlled Substance Dispensing/Administration Log example	37.32 KB
Controlled Substance Inventory Log example	26.7 KB
DEA Registered Reverse Distributor List - 2020	254.77 KB
Premises Name Change/ Change of Scope Request Form	144.78 KB
Duplicate Premises Wall License Request	187.25 KB

Animal Crematories

Attachment	Size
Animal Crematory Application & Instructions	180.97 KB
Animal Crematory Inspection Checklist	111.04 KB
Animal Crematory Name Change/Scope of Service Change Form	69.09 KB

Complaints

Attachment	Size
Complaint Investigation Form	68.93 KB
What to Expect After A Complaint is Filed	134.4 KB
FAQs: Complaints & Investigations	44.21 KB

Miscellaneous

Attachment	Size
Public Records Reproduction Request Form	143.35 KB

Registered Equine Dental Practitioners

Attachment	Size
Equine Dentistry Registration Form	100.28 KB
Equine Dentistry Supervisor Form	72.43 KB
List of Registered Equine Dental Practitioners	27.8 KB

Unlicensed Practitioners

Attachment	Size
Unlicensed person providing veterinary care: Mario J. Cruz - Consent Agreement & Order	637.1 KB
Mario J. Cruz - Cease & Desist Order - Practicing without a license	121.14 KB
Kara Keller - Impersonating a veterinarian	966.88 KB