Get Ca 17m-13 2014-2026

The CA 17M-13 is an essential self-assessment form for pharmacies in California, designed to ensure compliance with federal and state pharmacy laws. This guide offers a step-by-step approach to complete the form online effectively and accurately.

Follow the steps to fill out the CA 17M-13 online.

1. Use the ‘Get Form’ button to access the CA 17M-13 form and open it in the online editor.
2. Enter the pharmacy details in the designated fields, including the pharmacy name, address, and contact information. Ensure accuracy in this information as it is crucial for identification purposes.
3. Select the ownership type of the pharmacy by checking the appropriate box. Options include Sole Owner, Partnership, Corporation, LLC, Non-Licensed Owner, or Other.
4. Input the permit number and its expiration date, along with any other relevant permit numbers.
5. List the pharmacy staff, including pharmacists, interns, and pharmacy technicians, by filling in their names and license numbers, as well as their expiration dates.
6. Proceed to each section of the self-assessment, answering questions with 'Yes,' 'No,' or 'N/A' as appropriate. If 'No' is selected, provide an explanation under the ‘Corrective Action or Action Plan’ section at the end of each part.
7. Review the completed form for accuracy and ensure all required fields are filled out correctly.
8. Finalize the form by saving your changes. You can then download, print, or share the form as needed.

Start filling out your CA 17M-13 online today to ensure your pharmacy remains compliant with state regulations.