Get Registration Renewal Compliance Filing Form For Manufacturers In Accordance With M G L Chapter 111n

The Registration Renewal Compliance Filing Form is essential for manufacturers looking to renew their registration in compliance with Massachusetts laws. This guide provides step-by-step instructions to assist users in completing the form accurately and efficiently, ensuring a smooth renewal process.

Follow the steps to successfully complete the online registration renewal form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in Section 1: Contact Info. Provide the Company Unique ID Number, Manufacturer Name, Address, City, State, Zip Code, Contact Name, Phone, Email, Compliance Officer Name, Compliance Officer Phone, and Compliance Officer Email.
3. Move to Section 2: Attestation and Signature. Carefully read each statement and check the box next to each one to affirm compliance with the marketing code of conduct. Ensure your company has the necessary training programs and procedures in place by confirming and checking the relevant boxes.
4. In Section 2, certify that your company has conducted an annual audit for compliance and confirm that an electronic disclosure report file has been submitted or will be submitted to the Department.
5. Complete the payment section. Include a check for the registration fee of $2000, made payable to the Commonwealth of Massachusetts.
6. Sign and date the form in the designated area under 'Signature of Compliance Officer.' Ensure you understand the certification statement regarding compliance.
7. Submit the completed registration form along with the check to the specified contact address for the Pharmaceutical Code of Conduct Program.
8. For any questions during the process, submit an email to pharmamedreg@massmail.state.ma.us.

Start filling out your Registration Renewal Compliance Filing Form online today to ensure your company's compliance and renewal!