An individual who has not yet submitted a completed a registration application may petition the Board for a determination of whether one or more of the individual’s convictions are disqualifying offenses that would render the individual ineligible for registration.
An individual with a conviction is not required to petition the Board for an eligibility determination prior to applying for a registration.
To petition the Board for an eligibility determination of whether one or more of the petitioner’s convictions are disqualifying offenses, a petitioner must submit all of the following:
- A completed petition for eligibility determination form;
- The complete criminal record for each of the petitioner’s convictions;
- A personal statement regarding whether each conviction directly relates to the duties and responsibilities of the practice of pharmacy and why the Board should find the petitioner rehabilitated;
- All evidence of rehabilitation that the petitioner wishes to be considered by the Board; and
- A nonrefundable fee of $25.
The cutoff for inclusion on the Board's agenda is two weeks prior to a scheduled Board meeting. Requests received after the cutoff will be held for the following Board meeting (i.e. deadline for March 12 meeting is February 27; a request received on February 28 would not go before the Board until the next meeting).
For more information, please see 657 IAC 31.