Follow the steps to complete the application form effectively.

1. Click the ‘Get Form’ button to access the application form and open it in your preferred document editor.
2. Begin by filling out Part 1, which includes Investigator/Billing/Manufacturer/Fee Information. Here, provide your name, title, company or organization, contact information, and the details of the primary contact if different.
3. In Section B, input the Drug Supplier Information. This includes the company name, product name, and the contact person’s information.
4. Complete Section C by checking the applicable fee for the Experimental Studies Certificate. Make sure to include the Method of Payment for Veterinary Drugs, if necessary.
5. Proceed to Part 2 and provide Drug Information, including the brand name, proper name, dosage form, route of administration, and attach any necessary chemical structure diagrams.
6. In Part 3, you will provide Experimental Study Details. Include the study location, facility description, study objectives, details of the animals to be studied, and any protocols or safety information.
7. If applicable, fill out Part 4 specifically for Food-Producing Animals. This requires details on the proposed withdrawal periods and toxicity data.
8. Finally, in Part 5, you will need to sign the Statement of Investigator confirming adherence to regulatory requirements. Ensure all relevant signatures are obtained.
9. After completing all sections of the form, review your entries for accuracy. You can then save your changes, download, print, or share the completed application as needed.

Complete your application form online today to ensure a smooth submission process.