Structural Pest Control Commission by wuyunyi

VIEWS: 11 PAGES: 6

									                                                         STATE OF ARIZONA
 Janet Napolitano
      Governor
                               Structural Pest Control Commission                                                               Lisa Gervase
                                                                                                                             Executive Director
                                                   9535 E. Doubletree Ranch Road
                                                   Scottsdale, Arizona 85258-5514
                                                 (602) 255-3664 - (602) 255-1281 fax
                                                         www.sb.state.az.us

                     Applicants with Criminal Conviction(s) Supplement
The applicants with Felony conviction(s) must provide the following information for Commission Review.

          Completed Application for Licensure or License Renewal on the correct form, including all applicable
          fee(s).
          Completed Conviction Disclosure Form
          A complete copy of the Sentencing Orders.
          A complete copy of the Pre-Sentence Report. If the Pre-Sentence Report is unavailable, please submit
          a complete copy of the Original Police Report.
          If on Parole or Probation, a letter from your Parole or Probation Officer indicating your current status. If
          Parole or Probation has been successfully completed, a complete copy of your Order of Discharge from
          Probation or Parole.
          Background investigation, conducted through fingerprinting. Fingerprints must be submitted to the
          Structural Pest Control Commission.
          Letters of Recommendation (optional) - providing information about your character, both personal &
          professional, signed & dated. Please provide contact information for each letter of recommendation
The applicants with misdemeanor conviction(s) must provide the following information for Commission
Review.

          Completed Application for Licensure or License Renewal on the correct form, including fee(s)
          Completed Criminal Conviction Disclosure Form
          Typed and detailed explanation of the events that lead to the conviction(s), the terms of the
          conviction(s), the disposition of the conviction(s), and the current status of the applicant
All Convictions must be disclosed. An offense that is undesignated, or has been expunged, is still considered a
conviction. Failure to disclose all convictions may result in denial of licensing. See Substantive Policy Statement:
POLICY NUMBER 2004-002 for additional details at www.sb.state.az.us in the Frequently Used Link – Policies.


When all required information is received, your application will be placed on the next available Commission
Meeting Agenda for disposition. You will be notified of the time and place of the Commission Meeting.                                 If you
have any questions, please telephone the Structural Pest Control Commission Licensing Department at (602)
255-3664. Thank you.




          Persons with disabilities may request reasonable accommodations by contacting the SPCC ADA Coordinator at (602) 255-3664.
        Requests should be made as early as possible to allow time to arrange the accommodation. 10/17/2006 - RLT
                                                          STATE OF ARIZONA
 Janet Napolitano
       Governor
                                Structural Pest Control Commission                                                               Lisa Gervase
                                                                                                                              Executive Director
                                                    9535 E. Doubletree Ranch Road
                                                    Scottsdale, Arizona 85258-5514
                                                  (602) 255-3664 - (602) 255-1281 fax
                                                          www.sb.state.az.us

                              Criminal CONVICTION DISCLOSURE FORM*
                                               (Please type or print clearly)
In accordance with Arizona Revised Statutes [32-2312, 32-2314, 32-2315] and Arizona Administrative Code [R4-29-201], the
following information must be provided for Commission Review.
Full Legal Name: _____________________________________________ Telephone #: (_______) _________ - _________
Mailing Address: ___________________________________________ City: ______________State: ________ZIP: ________
Physical Address: __________________________________________ City: ______________State: ________ZIP: ________
Date of Birth: ________/________/________                    Social Security Number: _________ - _________ - ____________

The Charge(s) for which you were convicted: _______________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
The Date(s) of the conviction(s): __________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
The Jurisdiction(s) where the conviction(s) occurred: _________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
The Disposition(s)/ Outcome(s) of the conviction: __________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Your Current Status (i.e. parole, probation, etc.): __________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

*All Criminal Convictions (Misdemeanor and/or Felony) must be disclosed. Use additional sheets if necessary. An offense that
is undesignated, or has been expunged, is still considered a felony conviction. The commission may require submission of a
full set of fingerprints pursuant to A.R.S. § 32-2304 (B2). Failure to disclose all convictions may result in denial of licensing.

I hereby make the above statement to the Arizona Structural Pest Control Commission as a statement of fact of the
official record as a true and correct statement.


Signature: ___________________________________________________________________ Date: __________________




           Persons with disabilities may request reasonable accommodations by contacting the SPCC ADA Coordinator at (602) 255-3664.
         Requests should be made as early as possible to allow time to arrange the accommodation. 10/17/2006 - RLT
                INFORMATION ON FINGERPRINT CARDS AND
                      FINGERPRINTING SERVICES
Arizona Revised Statute § 32-2304 (B)(2) – The Commission May: Require a person who seeks a license pursuant to
this chapter to submit to the commission a full set of fingerprints and the fees required by section 41-1750. The
commission shall submit the fingerprints and fees to the department of public safety for the purpose of obtaining a state
and federal criminal records check pursuant to section 41-1750 and Public Law 92-544. The department of public safety
may exchange this fingerprint data with the federal bureau of investigation.


Fingerprint Card: Only use the blue-outlined, matte finish fingerprint card provided by the SPCC. All spaces must be
completed in BLACK INK ONLY. Be sure the information is within the allotted space and not over the line. You must
clearly print all information on the card except for the signature. Do not place any information in the boxes labeled
Employer & Address and Reason Fingerprinted. Fingerprints which are smeared, too dark, too light, or are generally
illegible and which cannot be read or processed by the FBI will be rejected and returned, and you will be required to
submit another set of fingerprints. Do not bend or fold the fingerprint card in any way. If the card has been folded
or bent, it will be rejected. Also, do not use a highlighter pen anywhere on the card, as the FBI will reject all cards that
contain highlighter markings. We recommend you review your Fingerprint card for completeness and fingerprint quality.
Refer to the reverse side of the fingerprint card, which outlines FBI standards of readable prints.


Fingerprinting Services: The following is a partial list of organizations, firms and individuals who offer fingerprinting
services. The Arizona Structural Pest Control Commission does not regulate fingerprinting services and does
not attest to the quality of services provided. We strongly suggest that you contact the fingerprints organization,
firm, or individual to inquire about the cost, business hours, restrictions, and information or documents you may be
required to bring with you. You may be required to take a photograph for purposes of confirming identity. You may be
required to make an appointment.


                                              Continued on next page




 Arizona Structural Pest Control Commission
 9535 E. Doubletree Ranch Rd.
 Scottsdale, AZ 85258 – 5514
 (602) 255-3664 (602) 255-1281 fax
 www.sb.state.az.us
                                                                                                  10/17/2006 - RLT
                                       FINGERPRINTING SERVICES
          Police Departments                          Police Departments                  Arizona County Offices
Apache Junction Police Dept.                 Bullhead City Police Dept.               Cochise County Jail
1001 N. Idaho Rd, Apache Junction            1255 Marina Blvd, Bullhead City          203 N. Judd Drive, Bisbee
480-982-8260                                 928-763-9200                             520-384-7070
Avondale Police Dept.                        Douglas Police Dept.                     Coconino County Sheriff Office
519 E. Western Avenue, Avondale              300 West 14, Douglas                     211 N. Ages, Flagstaff
623-932-3660                                 928-364-8422                             928-774-4523
Chandler Police Dept.                        Flagstaff Police Dept.                   Gila County Sheriff Office
250 E. Commonwealth, Chandler                120 N. Beaver Street, Flagstaff          1100 South, Globe
480-782-4130                                 928-558-2316                             928-425-4449
Peoria Police Dept.                          Town of Marana Police Dept.              Maricopa County Sheriff Office
8343 W. Monroe Street, Peoria                13291 N. Lon Adams, Marana               101 W. Madison St., Phoenix
623-773-8311                                 520-682-4466                             602-876-1070
Phoenix Police Dept.                         Oro Valley Police Dept.                  Mojave County Sheriff Office
620 W. Washington Street, Phoenix            11000 N. La Canada Drive, Oro Valley     415 E. Pine, Kingman
602-262-6134/ 602-262-6116                   520-229-4900                             928-718-5548
Scottsdale Police Dept.                      Parker Police Dept.                      Pima County Sheriff Office
9065 E. Via Linda, Scottsdale                1314 W. 11th Street, Parker              1650 E. Benson Highway
480-391-5000                                 928-669-2264                             928-741-4971
Tempe Police Dept.                           Payson Police Dept.                      Yavapai County Sheriff Office
120 E. Fifth Street, Tempe                   303 N. Beeline Highway, Payson           255 E. Gurley St., Prescott
480-858-2024                                 928-474-5177                             520-771-3260
Tucson Police Dept.                          University of Arizona Police Dept.       Yuma County Sheriff Office
1100 S. Alvernon, Tucson                     1852 E. First, Tucson                    141 S. 3rd Avenue, Yuma
520-791-4697                                 520-621-8273                             928-785-4411
Buckeye Police Dept.                         Yuma Police Dept.
1001 N. Apache Road, Buckeye                 1500 S. 1st Avenue, Yuma
623-386-4421                                 928-783-4421
                                         OTHER FINGERPRINTING SERVICES
A-1 Immigrant Service, Inc.                  Preferred Information Services           Design Photography
2540 E. Thomas Rd. Ste A-B, Phoenix          54 S. Center St., Mesa                   1615 N. Wilmot Rd., Tucson
602-977-2612 FAX: 602-952-9757               480-835-6676                             520-298-7007
Nuwest Investigations                        Frontier Private Process Service         Adult/ Child Identification
5717 W. Glendale Ave., Glendale              1145 W. McDowell Rd., Phoenix            3121 N. Conestoga Ave., Tucson
623-937-9676 or 602-757-5396                 602-258-0022                             520-749-4417
Affiliated Fingerprint Consultants           Thumbs Up Fingerprint Services           Global Investigations
4132 N. 12th St., Phoenix                    Central/ Northwest Valley – Mobile Svc   7807 E. Greenway # 9, Scottsdale
602-980-7829 / 602-230-1540                  623-979-2055                             480-443-0828
Community Wellness & Safety of AZ            Southwest Fingerprint Labs, Inc.
Gilbert/ Tempe (ASU)                         Higley, AZ
480-892-4295                                 480-988-1673




Arizona Structural Pest Control Commission
9535 E. Doubletree Ranch Rd.
Scottsdale, AZ 85258 – 5514
(602) 255-3664 (602) 255-1281 fax
www.sb.state.az.us
                                                                                              10/17/2006 - RLT
                             ARIZONA STRUCTURAL PEST CONTROL COMMISSION
                                    SUBSTANTIVE POLICY STATEMENT
                                        POLICY NUMBER 2004-002

Pursuant to A.R.S. § 41-1001(20), this substantive policy statement provides the SPCC's approach to, or opinion of,
the requirements of SPCC statues, A.R.S. §§ 32-2312(A) and 32-2314(A), and the SPCC's current practice,
procedure or method of action based upon this approach or opinion. This is advisory only. A.R.S. §§ 32-2312(A) and
32-2314(A) read:

32-2312. Applicator licenses; application; categories; renewal; inactive licenses

    A. An application for an applicator license shall be in a form prescribed by the commission and accompanied by
       the prescribed fee. The application shall set forth whether the applicant has ever been convicted of a felony
       and, if so, the nature of the felony, when and where it was committed and the disposition of the conviction.

    D. An applicator shall be of good moral character.
32-2314. Qualifying party; license; examination; inactive status; temporary license
    A. An application for a qualifying party license shall be in a form prescribed by the commission and accompanied
       by the prescribed fee. The application shall set forth whether the applicant has ever been convicted of a
       felony and, if so, the nature of the felony, when and where it was committed and the disposition of the
       conviction.

    C. .3 An applicant for qualify party licensure shall: Be of good moral character.
This policy statement applies when the SPCC is deciding whether to grant a license to an applicant who has been
convicted of a felony or crime involving moral character.
    A. The SPCC likely will deny licenses to applicants who have been convicted of the following crimes, but each
       application is considered on its own merits:

        1. First or Second Degree Murder

        2. A Dangerous Crime Against a Child, including: sexual abuse, aggravated assault, molestation,
           kidnapping, child abuse, murder, prostituting a child, attempted murder.

        3. Sexual Assault-related Offenses

        4. Aggravated Manslaughter

        5. Rape

        6. Kidnapping

        7. Trafficking in illegal drugs

        8. Crimes involving moral turpitude (i.e.: dishonesty, theft, fraud, falsification)

    B. The SPCC may deny licenses to applicants who have been convicted of the following felonies:

        1. Arson

        2. Burglary

        3. Theft/Fraud/Falsification type offenses

        4. Aggravated or Armed Robbery

        5. Assault or Aggravated Assault

        6. Domestic violence related offenses

        7. Substance abuse related offenses
      8. Other

   C. The SPCC may deny licenses to applicants who do not truthfully answer the felony question on an application
      or renewal.

   D. The SPCC may make the following inquiries when determining whether to grant licenses to applicants who
      have been convicted of crimes; as relevant to the particular offense involved:

      1. When did the offense occur?

      2. What led to the offense being committed?

      3. Was the conviction less than five years before the date of the application?

      4. Was a weapon involved in the offense?

      5. Was a minor involved as a victim?

      6. Was this a crime involving elder abuse?

      7. Are there any outstanding fines, restitution, or other terms of criminal probation?

      8. Was the conviction of an "aggravated" offense? If so, why? (i.e.: an "aggravated DUI" generally means
         that there were prior DUI convictions within a short time).

      9. If the applicant was sentenced to prison, was the applicant released less than three years before the date
         of the application?

      10. Was the applicant convicted of any other felonies or crimes involving moral turpitude?

      11. Was alcohol or drugs involved?

      12. Did the offense occur in/around a school, church, private home?

      13. Is the applicant still on probation (release of a defendant to the supervision of the county??)?

      14. Was the applicant placed on "intensive" probation? If so, this generally means that the applicant failed to
          comply with prior terms of their sentence or probation.

      15. Is the applicant still on parole (release of a defendant to the supervision of the state??)?

      16. Does the applicant currently use alcohol/drugs?

      17. If the offense was alcohol/drug related, what rehabilitation has occurred?

      18. Was the applicant's offense/offenses plea-bargained to lesser charges?

      19. Has the applicant received anger management, alcohol/drug counseling?

      20. Employment history?

      21. Educational background?

      22. Support systems?

      23. How old was applicant when committed offense(s)?

      24. What is applicant's current employment?


Pursuant to A.R.S. §41-1013(B)(14) and A.A.C. §R1-1-210, this substantive policy statement shall
be filed with the Arizona Secretary of State and published in the Arizona Administrative Register.

								
To top