Get Nz Application For A Licence To Operate Pharmacy 2010-2025

Filling out the NZ Application For A Licence To Operate Pharmacy is a crucial step for individuals looking to legally manage a pharmacy in New Zealand. This guide will provide you with clear instructions and guidance to complete the form online efficiently.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by filling in the contact details section. Provide the name of the contact person, daytime telephone number, and mobile number for easy communication.
3. In the pharmacy details section, enter the pharmacy's trading name, its telephone number, fax number, and email address. Also, specify the District Health Board area where the pharmacy is located.
4. If there has been a change in the trading name within the last 12 months, include the previous trading name and/or current licence number.
5. For new pharmacies, indicate the required licence date, ensuring to allow at least 3-5 working days for stock delivery prior to the opening date.
6. Complete the checklist for the application: ensure all sections of the application are filled, signed by a Justice of the Peace, and include the preliminary information sheet along with the prescribed fee.
7. Fill in the company details section, making sure the information matches that on the New Zealand Companies Office website, including the company's address and date of incorporation.
8. Specify the board of directors, listing their full names, and document any other pharmacies operated by the company, if applicable.
9. Name responsible persons in the pharmacy. This includes pharmacists who manage the pharmacy and any individuals holding a managerial overview.
10. In the interests held section, list all shareholders, their addresses, the number of shares they hold, and any rights attached to those shares.
11. Provide mortgagee in possession details if applicable, confirming if the company is in possession of the pharmacy related to this application.
12. Include the declaration section, ensuring it is handwritten. Clearly state your full name, occupation, and location, followed by your signature.
13. Once all sections are complete, review the document for accuracy before saving your changes, and download, print, or share the form as necessary.

Complete your application online today to ensure your pharmacy operates legally and efficiently.