Technician Attestation Document - Ohio Board of Pharmacy - Ohio.gov 2026

1. Click ‘Get Form’ to open the Technician Attestation Document in the editor.
2. Begin with Part 1 – Applicant Information. Fill in your first name, last name, date of birth, social security number, and contact details including phone number and email address. Ensure accuracy as this information is crucial for your application.
3. Provide your employer's name and address, along with the responsible person's name and TDDD license number. Select whether you are applying as a Registered or Certified Pharmacy Technician.
4. In Part 1, indicate your educational qualifications by selecting one of the options provided regarding your high school diploma or equivalent.
5. Proceed to Part 2 – Attestation by Applicant. Here, you will need to manually sign the document in ink; remember that digital signatures are not accepted.
6. Next, move to Part 3 – Verification of Applicant’s Age, Education and Training. The responsible person at your pharmacy must initial each box confirming your age and educational qualifications.
7. Finally, complete Part 4 – Attestation by the Responsible Person. This section also requires a manual signature from the responsible person along with their contact information.

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