Claims Education

Thank you for choosing to pay for your service with the Board’s online payment option. This form is for paying for your duplicate certificate, license verification, business entity and penalty fees.

Fields marked with an asterisk* are required and must be completed prior to clicking Pay Now.

Please enter applicant details as requested below:

First Name

Last Name

Organization

Email

@

Phone Number

#

Address

City/Town

State/Province

ZIP/Postal Code

Laws & Rules / Manuals

Claims Manual (including one Laws & Rules Book Set) $50.00

Laws & Rules Book Set $12.00

Claim Manual Quantity

Claims Manual Shipping

Pickup: 800 West Washington Street, Phoenix, Arizona 85007

Pickup: 2675 East Broadway Boulevard, Tucson, Arizona 85716

Delivery($14 charge per manual)

Laws & Rules Book Set Quantity

Laws & Rules Book Set Shipping

Pickup: 800 West Washington Street, Phoenix, Arizona 85007

Pickup: 2675 East Broadway Boulevard, Tucson, Arizona 85716

Delivery($14 charge per manual)

Shipping Address

Address

City/Town

State/Province

ZIP/Postal Code

Annual Seminar Event Pass

Full Event Pass $384.00 Per Person

Single Day Pass $236.00 Per Person

Annual Seminar Full Event Pass Quantity

Please enter the name(s) of the attendees for the full event pass.

Seminar Single Quantity

Please enter the name(s) of the attendees for the single event pass.