Forms

Veterinarians - Pathways to Licensure

Attachment	Size
Veterinary Regular License Application Packet	480.11 KB
Veterinary License by Endorsement Application Packet	477.32 KB
Veterinary License by Universal Recognition	614.91 KB
Veterinary Specialty License Application Packet	476.52 KB
Faculty Member License Application Packet	501.29 KB
Active Duty Military & Spouses_SCRA Relocation to AZ due to military orders	355.96 KB
Veterinary State Employee Application Packet	395.9 KB
License Verification Request - Veterinarian	118.44 KB
Change of Address/Employment/Name	99.73 KB
Duplicate Wall License/Certificate Request Form	171.5 KB

Certified Veterinary Technicians (CVT)

Attachment	Size
CVT Application Packet - DO NOT USE UNLESS YOU HAVE PASSED THE VTNE	629.42 KB
CVT Universal Recognition Application (for Arizona residents who are licensed/certified in another state)	392.47 KB
CVT Address/Employment/Name Change Form	186.8 KB
CVT Certificate Verification Request (aka "letter of good standing")	101.5 KB
Duplicate Wall Certificate Request Form	171.5 KB

Premises

Attachment	Size
Premises License Application - Please do not submit more than 2 weeks prior to start of operations	223.38 KB
Premises Inspection Report (check-list)	304.46 KB
Notice of Inspection Rights	147.43 KB
Small Business Bill of Rights	197.64 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 - 8.24	130.32 KB
Premises Name Change / Change of Scope Request Form	171.63 KB
Duplicate Premises Wall License Request - Not needed for Renewal License pdf copy	187.25 KB

Animal Crematories

Attachment	Size
Animal Crematory Application & Instructions	181.39 KB
Animal Crematory Inspection Checklist	232.17 KB
Animal Crematory Name Change/Scope of Service Change Form	79.03 KB

Complaints

Attachment	Size
Complaint Investigation Form	69.81 KB
What to Expect After A Complaint Is Filed	138.23 KB
FAQs: Complaints & Investigations	44.21 KB

Miscellaneous

Attachment	Size
Public Records Reproduction Request Form	144.44 KB
Investigative Committee Volunteer Candidate Information Form	126.54 KB

Registered Equine Dental Practitioners

Attachment	Size
Equine Dental Practitioner Registration Form	117.01 KB
Equine Dental Practitioner Supervisor Form	84.27 KB
List of Registered Equine Dental Practitioners	29.01 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
Landon Ames - Unlicensed person providing equine dental care	114.33 KB