State Verification of Examination/Registration Form
License Verification Form
Please complete the following steps when requesting verification of your examination or registration to another state board or jurisdiction.
There is no charge for a verification.
Verification requests will be completed within ten business days.
Obtain a verification form from the requesting State Board. If the requesting board does not have a form then please fill out the Arizona verification Form (Section I only) and submit to us.
Verifications will be sent directly to the requesting State Board. If you need the verification to be sent back directly to you, then the request will need to be submitted with a self-addressed envelope.
Please fill out the form (Section I only) then print and send via U.S. mail to or email Tanya Salinas:
AZ State Board of Technical Registration
1110 W. Washington St., Suite 240
Phoenix, Arizona 85007
If you have any application questions or concerns, please call the Board's office at (602) 364-4930 or contact us.
Adobe Acrobat Software version 7.9 or higher is required.
For a free updated version of Adobe Acrobat software please Click Here.