Ca self assessment: Fill out & sign online

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01. Edit your ca self assessment online

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Send california board of pharmacy self assessment via email, link, or fax. You can also download it, export it or print it out.

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Click ‘Get Form’ to open the California Self Assessment in the editor.
Begin by entering your pharmacy name, address, and contact information in the designated fields at the top of the form.
Indicate your ownership type by checking the appropriate box (Sole Owner, Partnership, Corporation, LLC, etc.).
Complete Sections 1 through 8 by answering each question with 'Yes', 'No', or 'N/A'. If you select 'No', provide an explanation in the 'CORRECTIVE ACTION OR ACTION PLAN' section.
Ensure that all required signatures are provided at the end of the form. The pharmacist-in-charge must certify completion and accuracy.
Once completed, save your document. You can print it for your records or submit it as required.

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