PDF
Word
Form LARA / BPL-WDBROKER AFFIDAVIT Wholesale Distributor-Broker Affidavit - Michigan
What Is Form LARA/BPL-WDBROKER AFFIDAVIT?
This is a legal form that was released by the Michigan Department of Licensing and Regulatory Affairs - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is a Wholesale Distributor-Broker Affidavit?
A: It is a document required by the Michigan Department of Licensing and Regulatory Affairs (LARA) for individuals or businesses acting as wholesale distributor-brokers of prescription drugs.
Q: Who needs to submit a Wholesale Distributor-Broker Affidavit?
A: Anyone in Michigan acting as a wholesale distributor-broker of prescription drugs.
Q: What information is required in the Wholesale Distributor-Broker Affidavit?
A: The affidavit will ask for information about the applicant, business details, and compliance with laws and regulations.
Q: How often do I need to submit the Wholesale Distributor-Broker Affidavit?
A: The affidavit needs to be submitted annually to maintain compliance as a wholesale distributor-broker.
Q: What are the consequences of not submitting the Wholesale Distributor-Broker Affidavit?
A: Failure to submit the affidavit can result in penalties, including suspension or revocation of the wholesale distributor-broker license.
Q: Who should I contact for more information about the Wholesale Distributor-Broker Affidavit?
A: You can contact the Michigan Department of Licensing and Regulatory Affairs (LARA) for more information about the Wholesale Distributor-Broker Affidavit.
Form Details:
- Released on March 1, 2022;
- The latest edition provided by the Michigan Department of Licensing and Regulatory Affairs;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form LARA/BPL-WDBROKER AFFIDAVIT by clicking the link below or browse more documents and templates provided by the Michigan Department of Licensing and Regulatory Affairs.
