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REGISTRATION APPLICATION: Technician Certification Extension Sequestrate BOARD OF PHARMACY 800 SW Jackson, Suite 1414 Topeka, Kansas 666121244 www.pharmacy.ks.gov (785) 2964056 pharmacy@ks.gov Fax
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How to fill out la-75-technician-certification-extension-request

01
Download the LA-75 Technician Certification Extension Request form from the appropriate website.
02
Fill in your personal information such as name, address, and contact information.
03
Provide details on your current certification and the reason for requesting an extension.
04
Sign and date the form before submitting it to the relevant authority.

Who needs la-75-technician-certification-extension-request?

01
Technicians who have an expiring certification and require an extension to continue working in their field.
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la-75-technician-certification-extension-request is a form used to request an extension for technician certification.
Technicians who need an extension for their certification are required to file la-75-technician-certification-extension-request.
la-75-technician-certification-extension-request can be filled out by providing the necessary information and reasons for requesting an extension.
The purpose of la-75-technician-certification-extension-request is to allow technicians to extend their certification deadlines.
Information such as technician certification details, reasons for extension request, and proposed new deadline must be reported on la-75-technician-certification-extension-request.
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