D DOCUMENTS AND THE CORRECT FEE APPLICATION FEE FOR A WDDD REGISTRATION WITH NO CONTROLLED SUBSTANCES IS $750.00 WITH CONTROLLED SUBSTANCES IS $787.50 WITHOUT FEE, ENTIRE APPLICATION WILL BE RETURNED MAKE CHECK PAYABLE TO Treasurer, State of Ohio FORM # 0700 - Application for Wholesale Distributor (WDDD) License 1. Indicate whether this application represents a new license or if this is a change to a current license. In the next box, give the proposed date of opening or licensing change.

How it works
  • Open form

    Open form follow the instructions

  • Easily sign form

    Easily sign the form with your finger

  • Share form

    Send filled & signed form or save

How to fill out the OH PHA-0700 online

The OH PHA-0700 form is crucial for individuals seeking a license as a wholesale distributor of dangerous drugs in Ohio. This guide will walk you through each section of the form, ensuring that you successfully complete it online with confidence.

Follow the steps to fill out the OH PHA-0700 form online:

  1. Press the ‘Get Form’ button to obtain the OH PHA-0700 form and open it in your preferred editor.
  2. Indicate whether you are applying for a new license or making changes to an existing one. Enter the proposed date of opening or the date of the change. If the site is already open but not licensed, specify 'already open', and include the existing WDDD license number if applicable.
  3. Complete the section with the name under which you will conduct the business and provide the complete street address of the location where drugs will be stored. Ensure that the address includes suite numbers if applicable and does not use a P.O. Box, except for the mailing address if desired.
  4. If applicable, list any other names under which you will conduct business.
  5. Enter the contact information for the individual available to answer questions about the application.
  6. Fill out the type of business organization you are applying as.
  7. Provide the names and titles of the owners or officers of the business.
  8. List any other Ohio TDDD or WDDD licenses held by the business owner.
  9. Check the type of drugs that you intend to distribute.
  10. Indicate whether you will be wholesaling human drugs, veterinary drugs, or both.
  11. Specify the type of wholesale operation being licensed and include a detailed description of the business activities on a separate sheet.
  12. Answer the legal questions related to disciplinary actions or convictions that may affect the application.
  13. Ensure that the statement of the applicant and the responsible person are signed manually (wet ink), verifying that the information provided is true and complete.
  14. Once all sections are completed, save changes to the document. You may choose to download, print, or share the completed form.

Complete the OH PHA-0700 form online today to ensure your application is processed promptly.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Related content

Temporary Assistance Source Book

Jun 27, 2016 — A. Investigation. B. Front End Detection System (FEDS). C. Responsibility...

Learn more
2016 General Catalog Number 20 - Air University

The statements set forth in this catalog outline the current rules, regulations and...

Learn more
M8459Se-8460Se-8485Se-8490Se-Operator-Manual.pdf

Warning: This equipment complies with the requirements in Part 15 of. FCC rules for a...

Learn more
Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Who is the responsible person for TDDD in Ohio?

Except in the case of a Pain Clinic which requires the Responsible Person to be a State Medical Board certified physician, the Responsible Person must be a licensed healthcare professional who will be physically present to provide supervision and control of dangerous drugs on-site, will provide enough security and ...

(OHAC) is a statewide trade association of Ohio's 75 Public Housing Authorities. Housing Authorities are political sub-divisions of the State of Ohio organized to administer Federal funds received from Housing and Urban Development through annual contracts and other housing initiatives.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

If you believe that this page should be taken down, please follow our DMCA take down process here.

Get OH PHA-0700