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Get the free Pharmacy Intern Hours Affidavit - pharmacy ca

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California State Board of Pharmacy BUSINESS, CONSUMER SERVICES AND HOUSING AGENCY 1625 N. Market Blvd, Suite N219, Sacramento, CA 95834 Phone (916) 5747900 Fax (916) 5748618 www.pharmacy.ca.gov DEPARTMENT
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How to fill out pharmacy intern hours affidavit

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How to fill out a pharmacy intern hours affidavit:

01
Obtain the pharmacy intern hours affidavit form from your state's board of pharmacy.
02
Read the instructions on the form carefully to understand the requirements and guidelines for filling it out.
03
Fill out personal information section: Provide your full name, contact information, and pharmacy intern license number.
04
Enter the reporting period: Indicate the start and end dates of the period in which you are reporting your hours.
05
Record your total hours: Calculate and enter the total number of hours you have worked as a pharmacy intern during the reporting period.
06
Specify the type of hours: Differentiate between the types of hours worked, such as dispensing, compounding, patient counseling, or administrative tasks. Enter the number of hours worked in each category.
07
List the pharmacies: Provide the names and addresses of the pharmacies where you completed your intern hours.
08
Provide verification: Sign and date the affidavit, and have it witnessed or notarized as required by your state's board of pharmacy.
09
Keep a copy: Make a copy of the completed affidavit for your records before submitting it to the board of pharmacy.

Who needs a pharmacy intern hours affidavit?

Pharmacy interns typically need to fill out a pharmacy intern hours affidavit to fulfill the reporting requirements set by their state's board of pharmacy. This affidavit serves as official documentation of the intern's practical training hours completed at various pharmacies. It may be required for licensure, certification, or renewal processes. Pharmacy students or graduates pursuing internships or licensure as pharmacists are usually required to submit this affidavit to demonstrate the completion of their internship hours.
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Pharmacy intern hours affidavit is a document that records the number of hours worked by pharmacy interns during their training period.
Pharmacy interns are required to file the pharmacy intern hours affidavit to document their training hours.
To fill out the pharmacy intern hours affidavit, pharmacy interns need to record their hours worked and have it verified by a licensed pharmacist or supervisor.
The purpose of the pharmacy intern hours affidavit is to track and verify the training hours completed by pharmacy interns.
The pharmacy intern hours affidavit must include the dates worked, hours worked, tasks completed, and verification by a licensed pharmacist.
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