Get Controlled Substance Waiver 092208

This guide provides clear and supportive instructions for completing the CONTROLLED SUBSTANCE WAIVER 092208 online. Whether you are a pharmacist or representing a pharmacy, these steps are designed to assist you in navigating the form's requirements.

Follow the steps to successfully complete the waiver form.

1. Click ‘Get Form’ button to access the CONTROLLED SUBSTANCE WAIVER 092208 and open it in your preferred editor.
2. Begin by identifying for whom the waiver is being requested. You will need to circle either 'Facility' or 'Pharmacist' based on your situation.
3. Next, print the name of the individual or entity requesting the waiver in the space provided. For a pharmacist, include your name along with your license number.
4. If you represent a pharmacy, print the business or company's name along with the corresponding license number in the designated area.
5. Fill in your mailing address accurately, ensuring to provide a complete address that includes the city, state, and zip code.
6. Enter your email address in the provided space for future communications regarding your application.
7. If your mailing address has changed, be sure to also complete a Request of Status Change or Address form, as address changes cannot be processed on this waiver.
8. Sign the document where indicated, ensuring that the signature belongs to the licensee identified in the first steps if you're submitting for a pharmacist or pharmacy.
9. Date the form in the specified space to confirm when the application is being submitted.
10. Review all entries for accuracy before proceeding. Once confirmed, you may save changes, download, print, or share the completed form as needed.

Complete your documents online today to ensure a smooth application process.