1. Print out the form
2. Fill out, sign and seal the form per the form instructions.
   IMPORTANT - The signature on the seal must be WET (IE written with a pen and not digital)
   IMPORTANT -The Affidavit must be signed before a Notary.
3. Mail the completed form to: The Arizona Board of Technical Registration 1110 W. Washington St. Suite 240 Phoenix AZ, 85007
   IMPORTANT - You cannot fax or email this form. It must be mailed to the Board.

Please email [email protected] with any questions.