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This form must be completed and returned to the Georgia Board of Pharmacy when a pharmacy technician changes employment or works at more than one pharmacy. It serves to notify the Board within ten
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How to fill out Pharmacy Technician Change of Employment Notification Form

01
Obtain the Pharmacy Technician Change of Employment Notification Form from your pharmacy or state board of pharmacy website.
02
Fill in your personal details, including your name, contact information, and pharmacy technician registration number.
03
Provide information about your previous employer, including the pharmacy name and address.
04
Enter details about your new employer, including the pharmacy name, address, and the date you started or will start working there.
05
Review the form for accuracy and completeness before submission.
06
Sign and date the form as required.
07
Submit the completed form to your state board of pharmacy or appropriate regulatory authority.

Who needs Pharmacy Technician Change of Employment Notification Form?

01
Pharmacy technicians changing their place of employment.
02
Pharmacy employers needing to update their records for a new hire.
03
State boards of pharmacy that require updated information on pharmacy technicians in their jurisdiction.
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The Pharmacy Technician Change of Employment Notification Form is a document used to notify the relevant regulatory authority when a pharmacy technician changes their place of employment.
All licensed pharmacy technicians are required to file the Pharmacy Technician Change of Employment Notification Form whenever they change their employer or workplace.
To fill out the Pharmacy Technician Change of Employment Notification Form, the technician must provide their personal details, including their name, license number, and contact information, along with the details of their previous and new employers.
The purpose of the Pharmacy Technician Change of Employment Notification Form is to keep the regulatory body informed of the technician's current employment status, ensuring compliance with state regulations.
The information that must be reported includes the pharmacy technician's personal information, the name and address of the previous employer, the name and address of the new employer, and the effective date of the employment change.
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