ICPT Forms

Manuals and Other Products Order Form (to fax or email)--This form can be used to mail in an order for most items from our online store.

Recertification--To recertify, technicians must use the ICPT Recertification Application Form, which is available on the ICPT website, and send it to ICPT along with full payment by the postmark deadline

Reinstatement--If techs have not recertified within the 90-day grace period following the expiration date on their certificate, they are no longer certified. They may, however, be eligible to have their recertification status reinstated if they do so within 18 months of the expiration date.

Change of Address--Techs who need to update their name or address would use this form. If there is a name change please include a marriage certificate or divorce decree with the COA form.

ADA Form--Candidates with documented disabilities (including learning disabilities, reading disabilities, visual impairment, hearing impairment, or other physical or mental disabilities) will be given special accommodations upon request, in conformance with the Americans with Disabilities Act (ADA).

Appeals Form--Pharmacy technicians may appeal certain decisions involving eligibility, ADA accommodations, disciplinary issues and individual exam items.

Volunteer Form--Pharmacists and technicians interested in writing items for the ExCPT, reviewing items for the ExCPT, or, participating as a governing member should submit a letter of interest and their resume.