Get Au Hps-00-0643 2014

Filling out the AU HPS-00-0643 form is an essential step for a complying pharmacy corporation seeking a community pharmacy licence. This guide provides you with clear, step-by-step instructions to ensure accurate completion of the form online.

Follow the steps to complete your form easily and accurately.

1. Press the ‘Get Form’ button to obtain the form and open it in the online editor.
2. In Section 1, enter the company name and the Australian Company Number (ACN). Ensure you have attached a current extract from the Australian Securities and Investments Commission (ASIC). Include the registered company address with all relevant details, like property name, street number, and street name, alongside the city, state, and postcode.
3. Answer the required information question by confirming whether you have attached the current ASIC company extract outlining directors and shareholders. Indicate 'yes' if applicable.
4. Complete the Company Declaration by writing your name, signing, and dating the form. Specify your position title accurately.
5. In Section 2, fill in the details of each director, ensuring that only pharmacists are listed. Provide the name and pharmacist registration number for each director, up to six directors.
6. Proceed to Section 3 and list the details of each shareholder, confirming that they are either pharmacists or close relatives of a pharmacist. Indicate their name along with their pharmacist registration number or relation to a pharmacist for each shareholder up to six.
7. If applicable, move to Section 4 to include details of trust beneficiaries. Fill in the name and pharmacist registration or relation information for each beneficiary, up to six.
8. Once you have completed all sections, review your entries for accuracy. After ensuring all information is correct, save your changes. You can then download, print, or share the completed form as needed.

Complete your AU HPS-00-0643 form online today to ensure timely processing of your community pharmacy licence.