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PSP Applications and Forms

All application fees are nonrefundable and nontransferrable. Once an application is submitted and the fee is paid, the withdrawal of an application, determination of ineligibility based on prior criminal convictions, or discovery of the submission of an incorrect application type does not merit return or refund of the application fee. Do not submit an application if you are unsure of which application type to submit.

Do not send cash.

Online Applications

  • Online Profile Portal (For online renewals, address and employment changes, and to print certificates) A valid credit or debit card (Visa, Mastercard, or Discover) is required for online renewal. There will be a $2.00 convenience fee charged for online renewal and payment. The renewal certificate will be mailed within a few days of the online renewal.
  • Initial Pharmacy Support Person Registration Application  (Application for applicants that have never been registered as a PSP in Iowa)

Paper Applications