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  • Tx Ef23-12957 2009

Get Tx Ef23-12957 2009-2025

To: Texas Department of State Health Services, RLU, Food & Drug Licensing, P.O. Box 12008, Austin, Texas 78711 For assistance in completing this application call (512) 834-6727 PSEUDO 2510 BUDGET: ZZ114 FUND 996 LICENSE # Name Under Which Business is Conducted (DBA): Physical Address to be Licensed: City, County, State, Zip Code: Telephone # at address: ( ) List of All Health Care Products, By Type, Sold At The Business Address Listed Above. Attach Additional Sheet If Necessary: Name(s), A.

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How to fill out the TX EF23-12957 online

Navigating the TX EF23-12957 form can be straightforward with the right guidance. This document serves as a comprehensive guide to help users complete the Minor Amendment License Application effectively and efficiently.

Follow the steps to complete the TX EF23-12957 form online.

  1. Click the 'Get Form' button to obtain the form and open it in the designated editor.
  2. Begin by entering the name under which the business is conducted (DBA) in the specified field.
  3. Fill in the physical address to be licensed, including city, county, state, and zip code.
  4. Provide the telephone number for the business address. Ensure it is accurate for future communication.
  5. List all health care products by type sold at the business address. Use additional sheets if necessary.
  6. Include the names, addresses, and contact persons of your wholesale distributors. Attach an additional sheet if needed.
  7. Indicate where products containing ephedrine, pseudoephedrine, or norpseudoephedrine will be stored. Choose either behind a sales counter or in a locked case within 30 feet of a staffed sales counter.
  8. Attach all required additional documentation, which includes a list of inventory of regulated products, a description of employee training, and written procedures for product storage.
  9. Select the purpose of the application and mark the appropriate box to indicate any changes in the status of your firm.
  10. Fill in the required details of the responsible individual in charge at the physical address.
  11. Complete the billing information section, including the name, address, and contact details of the application preparer.
  12. Review all sections to ensure accuracy and completeness before signing and dating the application.
  13. Save changes to your form, and download or print the completed application for submission.

Complete your TX EF23-12957 document online to ensure a smooth filing process.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232