Pharmacy Technician Application Instructions - California
California State Board of Pharmacy
1625 N. Market Blvd, N219, Sacramento, CA 95834
Phone: (916) 574-7900
Fax: (916) 574-8618
BUSINESS, CONSUMER SERVICES AND HOUSING AGENCY
DEPARTMENT OF CONSUMER AFFAIRS
GOVERNOR EDMUND G. BROWN JR.
HOW LONG WILL IT TAKE?
It takes the board 45 days to process your application.
ou will be notified by mail if your application is not complete.
lease do not contact the board to check on your application unless it has been on file for over 60
your check has cleared your bank, the board has received your application.
o check if your license was issued, go to www.pharmacy.ca.gov. Select “Verify a License” and
er your name. It takes four to six
weeks from the date a license is issued to receive the
in the mail.
WHAT MAKES AN APPLICATION COMPLETE?
Check the boxes below to be sure your application is complete before mailing it.
If your application is not complete, you will receive a “Deficiency Notice” in the mail.
You will then have 60 days to submit the required item(s).
If you do not submit the required item(s) within 60 days, you may have to file a new
application with new fees and meet any new requirements.
APPLICATION FEE $105: When you send your application, include a check or money order for
$105 made payable to the Board of Pharmacy. This fee is not refundable.
APPLICATION FOR A PHARMACY TECHNICIAN LICENSE (form 17A-5 (rev. 01/11): Complete
the entire application.
AVOID COMMON MISTAKES
The name on each form must be EXACTLY THE SAME as the name on your state driver’s
license or state-issued identification card. Your name must be the same on each of the
Pharmacy Technician Application,
Request for Live Scan form or fingerprint cards, and
Have you ever used a different name? List each prior name on the application under
Did you have a maiden name, married name, former name, AKA?
Have you ever used Jr., Sr., II, etc., with your name?
If you do not list all of your previous names, the board may not locate, match or verify
Do not leave anything blank; use “N/A” if a question doesn’t apply to you.
Do not let your school fill out Pages 1, 2 and 3 of your application.
You must sign and date the application. No one else can sign it for you.
Attach a passport-style, glossy, color photo (2”x2”) taken within 60 days of mailing the
application. DO NOT provide scanned images, Polaroids, or black-and-white photos.
1 of 4
17A-7 (REV 5.15)
Pharmacy Technician Application Instructions - California PDF
Favor this template? Just fancy it by voting!
2 Page(s) | 2326 Views | 38 Downloads
1 Page(s) | 1019 Views | 30 Downloads
3 Page(s) | 1984 Views | 29 Downloads
4 Page(s) | 2659 Views | 36 Downloads
3 Page(s) | 3593 Views | 78 Downloads