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Get Ne Dhhs Application For Registration As A Pharmacy Technician
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How to fill out the NE DHHS Application For Registration As A Pharmacy Technician online
This guide provides step-by-step instructions on completing the NE DHHS Application For Registration As A Pharmacy Technician online. It is designed to assist users in navigating the application process effectively and efficiently.
Follow the steps to complete your application online:
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Fill out Section A – Personal Information. Provide your legal name, mailing address, date of birth, and any other required details. Make sure to check the appropriate box for your social security number or alien registration number.
- In Section B – Conviction and Licensure Information, disclose any past convictions or licenses held in another state. If applicable, provide the required documentation as specified.
- Complete Section C – Education by submitting proof of high school graduation or its equivalent. Attach necessary transcripts or diplomas.
- In Section D – Practice Prior to Credential, indicate whether you have practiced as a pharmacy technician without a registration, and provide the required business name and contact information.
- Complete Section E – Attestation by selecting the appropriate options regarding your citizenship or immigration status. Ensure you read and attest to the truthfulness of your application.
- Review all sections carefully for completeness and accuracy.
- Finally, save changes to your application, and if required, download or print the completed form for your records.
Complete your application online to become a registered pharmacy technician in Nebraska.
DEA Information: (402) 471-2118. (402) 742-8355. DHHS.MedicalOffice@nebraska.gov. Attn: Pharmacy. PO Box 94986. Lincoln NE 68509. Hours: Monday-Friday 8 a.m. - 5 p.m. Closed on federal holidays.
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