You can use this form if you are a pharmacist or pharmacy technician registered with us to tell us about any issues which may affect your fitness to practise, including:
- cautions or convictions
- investigations or fitness to practise proceedings with other regulatory bodies
- issues connected with your academic or training career.
You do not need to declare fixed penalty notices for offences such as speeding.
Use this form for ad-hoc declarations. Do not use it as part of your annual renewal. You should renew your registration using myGPhC.
If you have already declared a matter as part of your application to the register or your annual renewal, you do not need to declare it again unless something has changed.
If you need to tell us about a health issue which may affect your fitness to practise, use the form on the ‘Health declarations’ page.
If you are applying to join our register and have an issue which may affect your fitness to practise, contact our Registrations Department on firstname.lastname@example.org.
Please make sure that the information you give on this form is as accurate and detailed as possible.
What you need to give us:
- as much detail as you can about the issue you are declaring
- details of your employer or training provider