Get Ca 17a-1a 2021-2025

The CA 17A-1A form is essential for individuals looking to retake the pharmacist examination in California. This guide provides clear and actionable steps to help you navigate the online filling process effectively.

Follow the steps to complete the CA 17A-1A form online.

1. Use the ‘Get Form’ button to obtain the CA 17A-1A form and open it in your preferred online editor.
2. Fill out your full legal name accurately as it appears on your identification documents. Ensure you avoid using any aliases.
3. Provide your official mailing and residence addresses. Double-check for typos to avoid communication issues.
4. Enter your date of birth and U.S. social security number or individual taxpayer identification number (ITIN) as required.
5. Indicate the examination(s) you are applying to retake by checking the appropriate box on the form.
6. Complete the exam history section by answering questions about your previous attempts at the CPJE and NAPLEX assessments.
7. Provide information regarding any additional licensure in other states, if applicable. Ensure you include all necessary verification forms.
8. Review and sign the applicant affidavit, certifying that all information provided is true and accurate, and date it within 60 days of submission.
9. Save the completed application. You have the option to download, print, or share your filled CA 17A-1A form as needed.

Complete the CA 17A-1A form online today and take the next step towards retaking your pharmacist examination.