Follow the steps to complete your application online.

1. Press the 'Get Form' button to obtain the application form and open it in the editor.
2. Begin by filling out Section A with the facility name, doing business as (DBA) name, and the physical address of the facility. If the mailing address differs from the physical address, provide that as well.
3. In Section B, provide contact information for the person responsible for the application, including their name, email address, and phone number. You should also include details for the designated facility manager.
4. Section C requires you to select the type of ownership and attach the appropriate form. Options include sole proprietor, partnership, corporation, LLC, or government.
5. In Section D, indicate whether the facility conforms to US FDA CGMP regulations by selecting 'Yes' or 'No'.
6. Section E asks whether the facility has a written Drug Diversion Detection and Prevention Policy on file. Select 'Yes' if it is available.
7. Continue through Section G, providing additional information required for facilities located in Oklahoma, including the county.
8. Next, complete Section H with the required FDA registration information. Attach copies of necessary documents as specified.
9. In Section I, answer all questions about disciplinary history. Any 'Yes' answers must be detailed in a separate addendum.
10. Review the application for completeness and accuracy. Ensure that all necessary supplementary documents are attached, including the application fee receipt.
11. Once everything is completed, you can save your changes, download the application, print it out, or share it with necessary personnel.

Get started with your application online today!