Form LI-214 / 244 Disciplinary Actions Disclosure - Arizona

Notification Icon 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.

ADVERTISEMENT

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;

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.

Download Form LI-214 / 244 Disciplinary Actions Disclosure - Arizona

4.3 of 5 (8 votes)
  • Form LI-214 / 244 Disciplinary Actions Disclosure - Arizona, Page 1
ADVERTISEMENT