Get Anexo Xvii C- Solic De Certificados Tramite O Vigencia - Salud Mendoza Gov

Filling out the Anexo Xvii C form for certification requests is essential for pharmacies and drugstores in Mendoza. This guide will walk you through each step of the online process, ensuring you complete the form accurately and efficiently.

Follow the steps to complete your certification request online.

1. Click the ‘Get Form’ button to access the Anexo Xvii C and open it in the editor.
2. In the first section, enter the name of the pharmacy or drugstore as required. Make sure to provide the full and accurate name to avoid processing delays.
3. Provide the establishment's address, including district and department. Ensure that all details are correct and complete to facilitate communication.
4. Enter the contact number and email address for the pharmacy. This information is vital for any follow-ups or clarifications.
5. In the next field, indicate the name of the owner or the corporate name for the legal entity. This ensures that the request is attributed to the correct party.
6. Include the name and last name of the technical director pharmacist, as well as their registration number. This is a crucial step for verifying qualifications.
7. Fill in the address and phone numbers of the technical director, maintaining accuracy to prevent miscommunication.
8. Select the type of certification you are requesting by checking the appropriate box: certification of current process or certification of validity of habilitation.
9. Acknowledge the fee associated with the request according to Resolution 724/13. Make sure to understand the payment process.
10. Sign the form. Depending on the structure of the business, select the appropriate signature option that reflects your role.
11. Finalize your application by saving any changes made to the form. You can also download, print, or share the form as needed.

Complete and submit your certification requests online to ensure compliance with local regulations.