Form LARA / EXM-010 College of Pharmacy Affidavit - Michigan

Form LARA / EXM-010 College of Pharmacy Affidavit - Michigan

What Is Form LARA/EXM-010?

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 the LARA/EXM-010 College of Pharmacy Affidavit?
A: The LARA/EXM-010 College of Pharmacy Affidavit is a document required by the state of Michigan for individuals applying for a pharmacy license.

Q: Who needs to fill out this affidavit?
A: This affidavit needs to be filled out by individuals who are applying for a pharmacy license in Michigan.

Q: What is the purpose of this affidavit?
A: The purpose of this affidavit is for the applicant to declare their eligibility and compliance with the requirements set forth by the Michigan Department of Licensing and Regulatory Affairs (LARA) for a pharmacy license.

Q: What information is required in the LARA/EXM-010 College of Pharmacy Affidavit?
A: The affidavit requires the applicant to provide personal information, educational background, and details about any criminal convictions or disciplinary actions against them.

Q: Do I need to notarize this affidavit?
A: Yes, the LARA/EXM-010 College of Pharmacy Affidavit must be notarized before submitting it.

Q: Do I need to provide any additional documents along with this affidavit?
A: Yes, you may need to provide additional supporting documents, such as official transcripts, proof of completion of required intern hours, or any other documentation requested by LARA.

Q: Who can I contact for more information or assistance regarding the LARA/EXM-010 College of Pharmacy Affidavit?
A: You can contact the Michigan Department of Licensing and Regulatory Affairs (LARA) for more information or assistance regarding the LARA/EXM-010 College of Pharmacy Affidavit.

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Form Details:

  • Released on March 1, 2023;
  • 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/EXM-010 by clicking the link below or browse more documents and templates provided by the Michigan Department of Licensing and Regulatory Affairs.

Download Form LARA / EXM-010 College of Pharmacy Affidavit - Michigan

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  • Form LARA / EXM-010 College of Pharmacy Affidavit - Michigan, Page 1
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