The Arizona State Board of Pharmacy's ASBP R-27 form serves as an essential tool in the journey of pharmacy licensure for candidates seeking to take the Full Exam or apply for Score Transfer. Conveniently located at 1616 W. Adams, Suite 120, in Phoenix, Arizona, with easy access to both a physical and a mailing address, the Board facilitates the smooth processing of this crucial document. This form, known as the Character Voucher, is integral in ensuring that candidates for licensure uphold the high standards of integrity and moral character required for entry into the pharmacy profession. The document requires a licensed pharmacist to vouch for the candidate’s absence of drug addiction, chronic inebriation, and legal convictions related to narcotics or drug devices. Additionally, it provides an opportunity for the endorsing pharmacist to add further comments regarding the candidate’s suitability for licensure. This vetting process is pivotal, not only for maintaining the profession's esteemed reputation but also for safeguarding public health and safety. With the stipulation that the information provided will remain confidential and solely for Board use, the ASBP R-27 form represents a critical step towards achieving a pharmacy license in Arizona, reflecting the Board's meticulous approach to ensuring the professionalism and ethical standards of its pharmacists.
| Question | Answer |
|---|---|
| Form Name | Form Asbp R 27 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | character voucher arizona board of pharmacy character voucher form |
Arizona State Board of Pharmacy
Physical Address: 1616 W. Adams, Suite 120, Phoenix, AZ 85007
Mailing Address: P.O. Box 18520, Phoenix, AZ 85005
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CHARACTER VOUCHER
For Full Exam or Score Transfer Applicants
For licensure candidate: ______________________________________________________
I attest to the best of my knowledge the above mentioned candidate is not addicted to the use of habit forming or narcotic drugs, is not a chronic or persistent inebriate and has not been convicted on any violation of federal or state laws pertaining to drugs or devices. The candidate is of good moral character and will in my opinion be a credit to the pharmacy profession.
I wish to add the following comments in reference for the licensure candidate:
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Pharmacist SignatureName (please print)
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AddressCityStateZip
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Pharmacist License Number |
State of Licensure |
PLEASE RETURN THIS FORM TO THE BOARD OFFICE BY MAIL, EMAIL OR FAX
Information provided on this form is for Board use only and will not be released under any circumstance
ASBP