Forms and Instructions
| Pharmacy Technicians |
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| 2021 Pharmacy Technician Application |
| 2021 Pharmacy Technician Reinstatement |
| Criminal Background Check Forms |
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| Effective July 28, 2021, in accordance with Act 630, background checks from individuals in Arkansas must be submitted electronically (live scan). Paper fingerprint cards will no longer be accepted and will be returned to the applicant and an electronic submission will be required before the application on file with the Board can continue to be processed. Out of State applicants will still submit completed fingerprint cards, as the State of Arkansas is not currently set up to receive electronic fingerprint submissions from out-of-state locations. |
| In-State Criminal Background Check Identity Verification (CBC) Form |
| Out-of-State Criminal Background Check Identity Verification (CBC) Form |
| Other Forms |
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| BEGINNING JANUARY 1, 2018 THE ARKANSAS STATE BOARD OF PHARMACY WILL NO LONGER REVIEW AND APPROVE EDUCATION SESSIONS AS CONTINUING EDUCATION HOURS, THAT ARE NOT CO-SPONSORED/DEVELOPED BY THE ARKANSAS STATE BOARD OF PHARMACY. IF YOU HAVE QUESTIONS OR CONCERNS ABOUT THIS, CALL THE BOARD AT 501-682-0190. |
| Change Form (Name, Address, or Employment) |
| Closing of Pharmacy Form |
| Complaint Form |
| Inspection Request Form |
| Mailing List Order Form |
| Wall Certificate Request Order Form |
| Request for Waiver Form |
| Medical Release Form |
