Get Fee: $400 For Osbp Use Only: License Issued Replaces Reset Form Information May Be Typed In Before

This guide provides clear instructions on how to complete the FEE: $400 FOR OSBP USE ONLY: LICENSE ISSUED REPLACES Reset Form Information May Be Typed In Before. By following the steps outlined below, users can effectively fill out the necessary information required for their application.

Follow the steps to complete the application effectively

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Begin by entering the name and/or doing business as (dba) and the street address of your facility in the first section.
3. Provide the mailing address in the subsequent section to ensure you receive important communications.
4. Select the appropriate option for the nature of your application: 'NEW' or 'CHANGE,' specifying whether it's for ownership, name, or location.
5. Indicate the types of prescription items you sell or ship to Oklahoma by checking all applicable boxes, distinguishing between non-controlled and controlled substances.
6. Describe your business practices at this location, including operations such as manufacturing, wholesaling, or distributing prescription drugs.
7. Complete the sections for facility manager details, facility hours, and the type of ownership by checking the applicable boxes.
8. If applicable, indicate whether the manager, owner, or business has any past legal issues regarding misdemeanors or felonies by selecting 'Yes' or 'No.' If 'Yes,' complete the required addendum.
9. Sign the application to affirm that the information provided is true and accurate. Ensure it is dated.
10. After completing the form, you can save changes, download a copy, print it for physical submission, or share it as necessary.

Complete your application online to ensure a smooth licensing process.