California Retake Form PDF Details

The California Retake Form (Form 17A-1A) is the official application for pharmacists retaking the NAPLEX or CPJE exams in California. Eligibility: Pharmacists whose initial exam attempt was unsuccessful, or those reporting multiple attempts for score transfers, must submit this retake application to the California State Board of Pharmacy. Required documents: A Practitioner Self-Query Report from the NPDB/HIPDB, government-issued photo ID matching your Social Security card name, and applicable fees are required with each submission. Fees: A non-refundable fee is required for CPJE retakes. No California Board fee applies to NAPLEX retakes. Active-duty military spouses may qualify for expedited review. Processing time: Allow 30 days for processing, with possible delays during peak periods. After approval, make separate test arrangements with the NAPLEX testing center. For special accommodation requests, indicate your needs on the application and follow the board's accommodation process.

QuestionAnswer
Form NameCalifornia Retake Form
Form Length6 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 30 sec
Other namesapplication california pharmacist online, retake application, ca retake application, california retake application

How to Edit California Retake Form Online for Free

Use FormsPal's online PDF editor to fill out the California Board of Pharmacy retake application quickly and accurately. Follow the steps below to complete Form 17A-1A and download your retake application.

How to Fill Out the California Retake Form

Step 1: Open the form. Click the "Get Form" button at the top of this page to open the PDF editor. The California Retake Application will load and be ready to complete.

California Retake Form step 1: opening the application in the PDF editor

Step 2: Enter your personal information. Type your full legal name exactly as it appears on your Social Security card and government-issued photo ID. Name discrepancies will delay or disqualify your application.

California Retake Form step 2: entering personal information and name fields

Step 3: Select the examination type. Indicate whether you are retaking the NAPLEX or the CPJE. Include payment for the non-refundable CPJE retake fee if applicable. NAPLEX retakers do not pay a California Board retake fee.

California Retake Form step 3: selecting examination type for NAPLEX or CPJE

Step 4: Attach required documents. Include your Practitioner Self-Query Report from the NPDB/HIPDB. Active-duty military spouses should note the expedited review option on the application.

California Retake Form step 4: attaching required documents including NPDB Self-Query Report

Step 5: Review and submit. Verify all fields are complete and accurate, sign the form, and submit it to the California State Board of Pharmacy. Processing takes approximately 30 days.

California Retake Form step 5: reviewing and submitting the completed application

Frequently Asked Questions

How many times can I retake the CPJE in California? The California State Board of Pharmacy requires a new retake application for each CPJE attempt. Check the board's current policies for any retake limits or mandatory waiting periods between attempts.

Is there a fee for retaking the NAPLEX in California? The California Board of Pharmacy does not charge a retake fee for the NAPLEX. Fees for the NAPLEX itself are set by the National Association of Boards of Pharmacy and must be paid separately.

What happens after I submit the retake application? Once the California State Board of Pharmacy approves your application, you will receive instructions to make your own test arrangements with the NAPLEX or CPJE testing program. Processing takes up to 30 days.

If you need other professional licensing and examination forms, FormsPal also provides the JCAHPO Application for Examination, Application for Occupational License, and additional professional license application forms.

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