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