Get Pharmacy Support Person Initial Registration - Iowa

Completing the Pharmacy Support Person Initial Registration application is an essential step for individuals seeking to work as pharmacy support persons in Iowa. This guide provides detailed, step-by-step instructions to help you successfully fill out the form online.

Follow the steps to complete your registration efficiently.

1. Click ‘Get Form’ button to access the registration application and open it in your preferred editor.
2. Begin by entering your name and residence/mailing address clearly. Ensure that you type or print the information legibly.
3. Indicate the Iowa county of your residence and provide your home telephone number in the designated fields.
4. Select your gender from the provided options by marking the appropriate box.
5. Enter your Social Security number in the required field.
6. Input your date of birth accurately, following the format specified in the form.
7. Respond to the question regarding any physical or mental conditions that may impair your ability to perform your duties. If appropriate, provide additional details on a separate sheet.
8. Answer the question related to any past criminal charges or convictions. Again, provide further clarification on a separate sheet if necessary.
9. Confirm if you have ever had a health profession license suspended or revoked. Provide additional details if you responded 'yes.'
10. List your current employment by indicating all Iowa pharmacies where you work or will work as a pharmacy support person. Ensure to include the Iowa license number of each pharmacy and the date you were hired.
11. Provide details about your educational background, indicating the highest grade completed and the name/location of any schools attended beyond high school.
12. Outline your employment experience over the past two years, excluding your current employment already listed. Start with the most recent job.
13. Review the entire application for completeness and accuracy. Ensure that all sections are filled out and that any required additional explanations have been provided.
14. Sign and date the application to validate your registration. Be aware that incomplete applications will be returned.
15. After completion, save the form. You can also choose to download, print, or share your application as needed.

Complete your registration online today to begin your career as a pharmacy support person.