- Print out the form
- 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)
- 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 contact Andrew Puccino with any questions.