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Form 2687-2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by filling out the 'Type of License Applying For' section. Select the appropriate license type from the provided options.
- Enter your personal information, including your last name, first name, and middle initial. Ensure accuracy as this information is crucial for background checks.
- Complete the race and sex information fields. This data is required for criminal background checks, so please select accordingly.
- If applicable, provide your Wisconsin License Number and any former or maiden names you may have used.
- Fill in your current address, including street, city, state, and zip code.
- Sign and date the form at the bottom to validate your application.
- For wholesale distributors of prescription drugs, include the DBA name and facility address along with the designated representative's details.
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