Get Purpose Of This Application - Texas Department Of State ... - Dshs State Tx

This guide provides clear, step-by-step instructions on how to complete the PURPOSE OF THIS APPLICATION form for out-of-state wholesale distributors of prescription drugs in Texas. It is designed to support users with varying levels of experience in filling out regulatory documents.

Follow the steps to fill out the PURPOSE OF THIS APPLICATION form successfully.

1. Click ‘Get Form’ button to access the application form and open it in your preferred document viewer.
2. Begin by marking the appropriate box to indicate the purpose of your application, such as 'New,' 'Amended,' or 'Renewal.' Ensure you include the start date of the regulated activity if applicable.
3. Provide the name under which the business is conducted (DBA) along with the physical address, including city, county, state, and zip code.
4. Enter a valid telephone number at the provided address, ensuring it is reachable for any correspondence.
5. Select the type of operation by checking all applicable boxes, ensuring that you accurately reflect the nature of your work.
6. Indicate the types of drugs you will be dealing with by checking all relevant categories provided.
7. Calculate your gross annual drug sales accurately; ensure to provide the relevant figures that correspond to the fee structure outlined in the form.
8. Complete the required documentation, including any additional attachments, such as a copy of the home state license and any other requested information from Attachments A & B.
9. Sign and date the document, certifying that all information provided is true and complete.
10. Save changes to the document, then proceed to download, print, or share the completed application as needed, ensuring it is sent with the appropriate fee to the specified address.

Ensure your application form is completed accurately and submitted online to comply with Texas regulations.