When businesses in Connecticut seek to handle non-prescription drugs, they must navigate through the process of obtaining a Non-Legend Drug Permit, as detailed in the PME-01 form. This critical document serves as the initial step towards compliance with state regulations, monitored by the Department of Consumer Protection's Drug Control Division. The form outlines a straightforward application process, requiring comprehensive identification details from the applicant, such as the business name, Federal Employer Identification Number (FEIN), and contact information. It also necessitates information regarding the type of business, previous permit holdings, and any parent company involvement. A non-refundable fee of $140.00, payable to the state treasurer, accompanies the submission. Furthermore, applicants are reminded of their ongoing obligations, notably the mandate to inform the Department promptly—within five days—of any changes in ownership, name, or location of the business, with the omission to do so attracting a fine. The stipulation that Non-Legend Drug Permits are non-transferable highlights the form's role not only as a procedural necessity but as a commitment to maintaining regulatory standards and ensuring public safety.
| Question | Answer |
|---|---|
| Form Name | Form Pme 01 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | non legend drug permit ct form |
STATE OF CONNECTICUT
DEPA RTM ENT OF CONSUM ER PROTECTION
DRUG CONTROL DIVISION
Telephone: (860)
Email: drug.control@ct.gov
WebSite: www.ct.gov/dcp
INSTRUCTIONS:
For Official Use Only
All spaces must be completed - please print or type. This application must be accompanied by a check or money order in the amount of $140.00, made payable to: “Treasurer, State of CT.” Application fees are
èReturn your completed application and fee to:
Department of Consumer Protection, License Services Division, 165 Capitol Avenue, Hartford, CT 06106
Name of Business (d/ b/ a) |
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FEIN Number: |
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Street Address |
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Name of Manager: |
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Has the Premise had a Previous Non |
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Name of Previous Businsess & Permit Number: |
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No |
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Name of Parent Company (Corporation, Partnership, LLC, etc.) |
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M ailing A ddress (If different than above) |
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The applicant understands that in accordance with Section 43(d) of Public Act
*Applicant must return the old permit upon changes in ownership, name or location.
I have read the above statement and understand fully my responsibility as holder of a Non Legend Drug Permit.
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SIGNATURE OF APPLICANT |
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