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  • Ca 17a-1a 2022

Get Ca 17a-1a 2022-2026

California State Board of Pharmacy 2720 Gateway Oaks Drive, Suite 100 Sacramento CA 95833 Phone: (916) 518-3100 Fax: (916) 574-8618 www.pharmacy.ca.gov Business, Consumer Services and Housing Agency.

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How to fill out the CA 17A-1A online

Filling out the CA 17A-1A form online is an essential step for applicants seeking to retake the pharmacist examination in California. This guide provides step-by-step instructions to help you navigate the form with ease and confidence.

Follow the steps to complete your CA 17A-1A form online.

  1. Click ‘Get Form’ button to obtain the CA 17A-1A form and open it in the online editor.
  2. Review the application instructions carefully before you begin filling out the form, ensuring you understand all requirements to avoid any omissions.
  3. Enter your full legal name as it appears on your identification documents. Make sure to include all parts of your name accurately.
  4. Provide your official mailing address and residence address. If you wish to keep your residence address confidential, consider using a post office box.
  5. Complete the contact information section, including your email address and phone numbers. Use an email you check frequently for communication from the Board.
  6. Indicate whether you are applying to retake the NAPLEX, CPJE, or both by checking the appropriate boxes on the application.
  7. If applicable, you may need to include documentation for military expediting or refugee status expediting. Make sure to attach any necessary forms and identify supporting documents.
  8. Carefully answer the required questions about your examination history and any disciplinary actions. Attach any additional explanations if necessary.
  9. Review your application for completeness and accuracy. Ensure that all questions are answered and required documentation is attached.
  10. Once you have filled out the form and verified all information, you can save your changes or print the application for a wet signature.
  11. Mail your completed application, along with the application fee of $285, to the Board of Pharmacy address provided in the instructions.

Start the process of filling out your CA 17A-1A form online today to advance your career in pharmacy.

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