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This version of the form is not currently in use and is provided for reference only. Download this version of
Form LI-214/244
for the current year.
Form LI-214 / 244 Disciplinary Actions Disclosure - Arizona
What Is Form LI-214/244?
This is a legal form that was released by the Arizona Department of Real Estate - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form LI-214/244 Disciplinary Actions Disclosure?
A: Form LI-214/244 Disciplinary Actions Disclosure is a document that discloses information about any disciplinary actions taken against a healthcare provider in the state of Arizona.
Q: Who needs to complete Form LI-214/244 Disciplinary Actions Disclosure?
A: Healthcare providers who are applying for or renewing their license in Arizona need to complete this form.
Q: What type of disciplinary actions should be disclosed on Form LI-214/244?
A: Any disciplinary actions, formal or informal, taken by any state, federal, or regulatory agency against the healthcare provider should be disclosed.
Q: What happens if a healthcare provider fails to disclose disciplinary actions on Form LI-214/244?
A: Failure to disclose disciplinary actions may result in denial of the license application or renewal.
Form Details:
- Released on August 1, 2019;
- The latest edition provided by the Arizona Department of Real Estate;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form LI-214/244 by clicking the link below or browse more documents and templates provided by the Arizona Department of Real Estate.
