Get Technician Multiple Employment Report Form ... - Oklahoma

Filling out the Technician Multiple Employment Report Form is essential for pharmacy technicians working in multiple locations in Oklahoma. This guide provides clear, step-by-step instructions to ensure you complete the form accurately and efficiently online.

Follow the steps to successfully complete the form online.

1. Click the ‘Get Form’ button to obtain the form and access it in an editable format.
2. Begin filling out the form by entering your permit number in the designated field. This is essential for identifying your registration.
3. Next, provide your full name and address in the respective fields. Ensure that all information is accurate.
4. For your main place of employment (Employment #1), enter the pharmacy's name, license number, and address.
5. Indicate whether you would like to receive a duplicate permit for the main place of employment by selecting 'Yes' or 'No'.
6. Proceed to Employment #2 and fill in the pharmacy's name, license number, and address, using the same procedure as above.
7. Again, specify whether you want a duplicate permit for Employment #2 by checking 'Yes' or 'No'.
8. Repeat this process for Employment #3 and Employment #4, ensuring all fields are filled in accurately.
9. After listing all places of employment, calculate the total number of duplicates requested and multiply by the fee of $10 per duplicate.
10. Make sure to prepare your payment check to the Oklahoma State Board of Pharmacy for the total amount of duplicates requested.
11. Once you have completed the form and double-checked all entries, you can save your changes, download a copy, print the form, or share it as needed.

Complete your Technician Multiple Employment Report Form online today to ensure your compliance and continued practice.