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Forms - Pharmacy Technicians
Pharmacy Technician Candidates
Application for New Pharmacy Technician Candidate Registration
The Application for New Pharmacy Technician Candidate is available by electronic format (online). To preview the application and review the application checklist visit the Application Process Transparency page. If you require a paper application, you may submit a written request to the Board office for that document.
Start your electronic application(s) at the link provided at the bottom of the page.
The following forms may be used as supplements to your Application for Pharmacy Technician Candidate Registration
- 033 ~ Professional Credentials Disclosure Form
- 034 ~ Pharmacist's Certification of Training Intention for Pharmacy Technician Candidate Applicants (Option C)
Certified Pharmacy Technicians
Application for New Pharmacy Technician Certificate
The Application for New Pharmacy Technician Certificate is available by electronic format (online). To preview the application and review the application checklist visit the Application Process Transparency page. If you require a paper application, you may submit a written request to the Board office for that document.
Start your electronic application(s) at the link provided at the bottom of the page.
The following forms may be used to document training and experience
- 031 ~ Pharmacist's Certification of Hours of Practical Experience Earned by Pharmacy Technician Candidate (Option B)
- 035 ~ Pharmacist's Certification of Training Completion (Option C)
- 070 ~ Pharmacist's Certification of Hours of Practical Experience Earned with Special Work Permit
Application for Renewal of Pharmacy Technician Certificate
Available May 1 - June 30 Annually
- 041 ~ Application for Renewal of Pharmacy Technician Certificate for Year 2025-2026
- 041-M ~ Application for Renewal of Pharmacy Technician in Active Duty Military Service for Year 2025-2026
- 041-MS ~ Application for Renewal of Pharmacy Technician Military Spouse for Year 2024-2025
Application for Reinstatement of Pharmacy Technician Certificate
Retired Forms
The following forms have been retired and are no longer available. Please log into your online services account and select the appropriate link to complete these tasks.
091 ~ Notice of Name Change
092 ~ Notice of Pharmacy Employment