
California State Board of Pharmacy BUSINESS, CONSUMER SERVICES AND HOUSING AGENCY 1625 N. Market Blvd, N219, Sacramento, CA 95834 Phone: (916) 5747900 Fax: (916) 5748618 www.pharmacy.ca.gov DEPARTMENT.
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How to fill out the CA 17A-7 online
The CA 17A-7 is an essential form required for applying for a pharmacy technician license in California. This guide will provide you with clear, step-by-step instructions on how to complete the form online accurately and efficiently.
Follow the steps to complete the CA 17A-7 form online.
- Click 'Get Form' button to access the form and open it in your preferred online editor.
- Fill in your full legal name in the designated fields, ensuring it matches your identification documents precisely.
- Provide your official mailing address and residential address if they differ, including city, state, and zip code.
- Indicate your date of birth clearly and ensure your social security number or Individual Taxpayer Identification Number is entered accurately.
- Attach a recent color passport-style photo in the specified format, ensuring it meets the guidelines provided.
- Select the box to indicate your eligibility based on education, providing the necessary transcripts or certificates as attachments.
- Complete the section regarding pharmacy technician qualifications, checking the relevant box that corresponds to your training or certification.
- Include the original sealed Self-Query Report from the National Practitioner Data Bank, ensuring it is dated within 60 days of filing.
- If you are a California resident, complete the Live Scan fingerprinting process, attaching the receipt to your application. If not, include two professional fingerprint cards.
- Review the entire application to ensure all fields are filled correctly and no information is left blank; use 'N/A' for non-applicable questions.
- Sign and date the application in the designated area, ensuring your signature is original and within the specified timeframe.
- Lastly, save your changes, and you may choose to download, print, or share the completed form as needed.
Complete your CA 17A-7 form online today to kickstart your pharmacy technician application process.
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