Personal Background Affidavit {17A-37} | Pdf Fpdf Docx | California

 California   Statewide   Board Of Pharmacy 
Personal Background Affidavit {17A-37} | Pdf Fpdf Docx | California

Last updated: 4/10/2025

Personal Background Affidavit {17A-37}

Start Your Free Trial $ 17.99
200 Ratings
What you get:
  • Instant access to fillable Microsoft Word or PDF forms.
  • Minimize the risk of using outdated forms and eliminate rejected fillings.
  • Largest forms database in the USA with more than 80,000 federal, state and agency forms.
  • Download, edit, auto-fill multiple forms at once in MS Word using our Forms Workflow Ribbon
  • Trusted by 1,000s of Attorneys and Legal Professionals

Description

17A-37 - PERSONAL BACKGROUND AFFIDAVIT. This form is to be completed by each natural person as instructed on a facility license application or to be added to an existing license through a Change of Permit application. A California licensed pharmacist and any licensed designated representative is not required to complete this form if serving as a pharmacist-in-charge/consulting pharmacist/designated representative-in-charge/responsible manager. www.FormsWorkflow.com

Related forms

Our Products