Regulated ProfessionsPharmacistsApplications and Forms The forms listed below are fillable forms. Open the form, type the application information, and print. You should then sign the form and have notarized, if applicable. If your computer does not allow completion of the form online, you may print the blank form and complete the application information in black ink. The Missouri State Highway Patrol (MSHP) and FBI have changed their criminal history background check fees. Effective 10/1/07, the fingerprinting fee is $52.20. Specific portions of the fee are paid to MSHP, FBI and Integrated Biometric Technology (IBT); the Board does not receive any portion of the fingerprinting fee. PHARMACY TECHNICIAN Pharmacy Technician Registration Application INTERN Intern Pharmacist Licensure Application Intern Notice of Employment or Change of Preceptor Intern Training Approved Special Sites Preceptor's Affidavit of Internship Hours PHARMACIST Application for Preliminary Evaluation of Foreign Pharmacy School Graduate Foreign Graduate Instruction Sheet Pharmacist Examination Application Pharmacist Licensure Transfer (Reciprocity) Temporary Pharmacist License Application PHARMACY Class J - Shared Services Questionnaire Inspection Criteria Forms Non-Resident Pharmacy/Pharmacist License Verification Affidavit Out of Business Notification Pharmacy Classification Change Application Pharmacy Location Change Application Pharmacy Name Change Application Pharmacy Permit Application (Missouri facility) Pharmacy Permit Application (Non-resident facility) Pharmacist-in-Charge Change Application Pharmacist-in-Charge Statement for New and Change of Ownership Applications DRUG DISTRIBUTOR Drug Distributor Name Change Application Drug Distributor Location Change Application Drug Distributor License Application--Missouri facility Drug Distributor License Application--Out-of-State facility Drug Distributor Out of Business Notification Drug Distributor License Verificaton Affidavit Drug Manufacturer Registrant Application Manager-in-Charge Change Application--Missouri facility Manager-in-Charge Change Application--Out-of-State facility MISCELLANEOUS Application for Approval of Pharmacist Continuing Education Program Continuing Education Program Instruction Sheet Duplicate License Request Intern Training Pharmacy Special Site Application Licensee Report of Discipline Compliance