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Get Ca 17a-7 2015

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.

  1. Click 'Get Form' button to access the form and open it in your preferred online editor.
  2. Fill in your full legal name in the designated fields, ensuring it matches your identification documents precisely.
  3. Provide your official mailing address and residential address if they differ, including city, state, and zip code.
  4. Indicate your date of birth clearly and ensure your social security number or Individual Taxpayer Identification Number is entered accurately.
  5. Attach a recent color passport-style photo in the specified format, ensuring it meets the guidelines provided.
  6. Select the box to indicate your eligibility based on education, providing the necessary transcripts or certificates as attachments.
  7. Complete the section regarding pharmacy technician qualifications, checking the relevant box that corresponds to your training or certification.
  8. Include the original sealed Self-Query Report from the National Practitioner Data Bank, ensuring it is dated within 60 days of filing.
  9. 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.
  10. Review the entire application to ensure all fields are filled correctly and no information is left blank; use 'N/A' for non-applicable questions.
  11. Sign and date the application in the designated area, ensuring your signature is original and within the specified timeframe.
  12. 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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CA 17A-7
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