Applications/Forms
Continuing Education
- Pharmacist Form (7 KB PDF)
- Technician Form (7 KB PDF)
Long Term Care Consultants
- Drug Disposal Log (11 KB PDF)
Intern
- Internship Registration Application (101 KB PDF)
- Affidavit of Internship Form (104 KB PDF)
- NDSU Intern Licensure Application (18 KB PDF)
- Affidavit for NDSU Students Form (93 KB PDF)
- Affidavit for Out-of-State Applicants Form (27 KB PDF)
- Application for Licensure by Examination (137 KB PDF)
- Internship and IPPE Progress Report Form (39 KB PDF)
- North Dakota Examination Protocols (41 KB PDF)
Pharmacy
- Permit/Renewal—Out-of-State Form (124 KB PDF)
- Pharmacist in Charge Disclosure Form (92 KB PDF)
- Permit/Renewal—In-State Form (49 KB PDF)
- Affidavit of Stock Ownership Form (41 KB PDF)
- Change Pharmacist in Charge Form (103 KB PDF)
Pharmacist
- Application for Immunization (114 KB PDF)
- Reciprocity Procedures Form (95 KB PDF)
- Reciprocity - Accessing reciprocity on the National Association of Boards of Pharmacy website
Technician
- How To Renew Your Technician-In-Training Registration Instructions (46 KB PDF)
- Registration Application—Technician in Training (82 KB PDF)
- Registration Application—Technician (421 KB PDF)
Wholesaler
- Licensure & Renewal Application Instructions (33 KB PDF)
- VAWD Accreditation Requirement Instructions (24 KB PDF)
- Licensure Application (24 KB PDF)
- Renewal Application (24 KB PDF)
To view PDF files, download Adobe Reader.
These forms are enabled for you to complete online. Please note that Adobe Acrobat Reader does not allow you to save your completed forms. You must completely fill in and print the forms in one operation. The ability to save completed forms is available commercially with the purchased, full version of Adobe Acrobat 5.0 (or later) product suite. After completing, print the form, sign and mail with payment if applicable. See below for help filling out Adobe Acrobat forms.
Filling Out Adobe Acrobat Forms
You can fill out forms in Acrobat Reader and submit them across the Web if you are filling them out from inside a Web browser. Please note that Adobe Acrobat Reader does not allow you to save your completed forms. You must completely fill in and print the forms in one operation. The ability to save completed forms is available commercially with the purchased, full version of Adobe Acrobat 5.0 (or later) product suite.
To fill out a form:
- Select the hand tool.
- Position the pointer inside a form field, and click. The I-beam pointer allows you to type text. The arrow pointer allows you to select a button, a check box, a radio button, or an item from a list.
- After entering text or selecting an item, check box, or radio button, do one of the following:
- Press Tab to accept the form field change and go to the next form field.
- Press Shift+Tab to accept the form field change and go to the previous form field.
- Press Enter (Windows) or Return (Mac OS) to accept the form field change and deselect the current form field.
- In a multiline text form field, Enter or Return goes to the next line in the same form field.
- You can use Enter on the keypad to accept a change and deselect the current form field.
- Press Escape to reject the form field change and deselect the current form field.
(If you are in Full Screen mode, pressing Escape a second time causes you to exit Full Screen mode.)
To clear a form in a browser window, do one of the following:
Important: There is no undo for this action.
- Select a Reset Form button, if one exists.
- Exit Acrobat Reader without submitting the form, and start again.
- Clicking the Reload button, the Go Back button, or following a link in a Web browser window; does not clear a form.