Get Ks Form Ba-22 2019-2025

The KS Form BA-22 is a crucial document for non-resident pharmacies seeking registration in Kansas. This guide will walk you through the process of completing the form online, ensuring that you provide all necessary information accurately and completely.

Follow the steps to successfully complete the KS Form BA-22 online.

1. Click the ‘Get Form’ button to access the KS Form BA-22 and open it in your digital editor.
2. Begin by providing your ownership information. Indicate whether the owner is an individual or a corporate entity, and attach the appropriate ownership form as required.
3. Next, fill out the pharmacy information, ensuring to include the pharmacy’s physical address, registration numbers, and contact details. Verify that all fields are accurate to avoid processing delays.
4. Complete the authorized resident agent information section. Include the name, title, and contact details for the responsible agent in Kansas.
5. Specify the type of pharmacy by checking the relevant options—such as retail or mail order—and provide any necessary drug schedules if applicable.
6. Address the disciplinary information by answering all relevant questions honestly. If applicable, make sure to attach the required Form S-300 for your disciplinary history.
7. List all licensed pharmacists currently employed at the pharmacy. Ensure you have their names and license numbers ready for accurate completion.
8. Review the PIC (pharmacist-in-charge) certification and owner certification sections. Ensure that signatures and dates are provided as required before submission.
9. Finally, save your changes, then download, print, or share the completed KS Form BA-22 as needed for submission.

Get started on your application today by filling out the KS Form BA-22 online.