Applications/Forms
License Verifications
- License Verification Requirements (80 KB PDF)
- License Verification Form (71 KB PDF)
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 (96 KB PDF)
- Affidavit for Out-of-State Applicants Form (27 KB PDF)
- Application for Licensure by Examination (137 KB PDF)
- Notice of Exam & Requirements (99 KB PDF)
- Examination Checklist (387 KB PDF)
- Internship and IPPE Progress Report Form (39 KB PDF)
- North Dakota Examination Protocols (41 KB PDF)
- North Dakota Pharmacist Licensure Steps (193 KB PDF)
Pharmacy
- Permit/Renewal—Out-of-State Form (525 KB PDF)
- Pharmacist in Charge Legal Affirmation Form (45 KB PDF)
- Permit/Renewal—In-State Form (515 KB PDF)
- Affidavit of Stock Ownership Form (41 KB PDF)
- Affidavit of Limited Liability Corporation Ownership (92 KB PDF)
- Change Pharmacist in Charge Form (103 KB PDF)
Pharmacist
- Pharmacist License Renewal Notice (99 KB PDF)
- Application for Immunization (114 KB PDF)
- Licensure of Foreign Graduates (160 KB PDF)
- Reciprocity Procedures Form (95 KB PDF)
- Reciprocity - Accessing reciprocity on the National Association of Boards of Pharmacy website
Technician
- Technician Registration Renewal (97 KB PDF)
- How To Renew Your Technician-In-Training Registration Instructions (46 KB PDF)
- Registration Application—Technician in Training (268 KB PDF)
- Registration Application—Technician (73 KB PDF)
- Qualifications Necessary for Registration (160 KB PDF)
- Accredited Technician Programs (246 KB PDF)
- Transferring Technician Credentials - Review Process (185 KB PDF)
Wholesaler
- Licensure & Renewal Application Instructions (33 KB PDF)
- VAWD Accreditation Requirement Instructions (193 KB PDF)
- Licensure Application (491 KB PDF)
- Renewal Application (537 KB PDF)
Veterinary
- Veterinary Technician Educational Packet (354 KB PDF)
- Application for Veterinary Dispensing Technician (71 KB PDF)
- Annual Veterinary Retail Facility License Application (51 KB PDF)
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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.





