For Controlled Substance applications click here.

Intern Registration Forms:

• Application for Registration of Internship U.S. Schools (PDF format)
• Application for Registration of Internship Foreign Schools (PDF format)
• Preceptor Affidavit (PDF format)
• College Practical Experience Form (PDF format)
• Affidavit of Intern Experience Form (PDF format)
• Practical Experience Program for Pharmacy Preceptors and Interns (PDF format)

• Instructions for Requesting a Criminal Background Check (PDF format)

• MPJE Study Material List (PDF format)

• Application for Pharmacist Licensure by Examination or Score Transfer (PDF format)

NAPLEX and MPJE candidates may schedule their appointments to test by visiting Pearson Vue's Web Site or calling 1-888-709-2679.

• Application for In-State Pharmacy Licensing (PDF format)


• Application for In-State Pharmacy Remodeling Permit (PDF format)

• Application for Non-Resident Pharmacy Permit (PDF format)

• Application for Distributor Permit (PDF format)
• Distributor License Verification Affidavit (PDF format)
• Ownership Information (PDF format)

• Application for Manufacturer Permit (PDF format)

• Evaluation - Continuing Education (PDF format)


• Request for Individual Program Approval (PDF format)


• Application for Approval as a Continuing Education Provider (PDF format)