Level 2, 15-31 Pelham Street, Carlton VIC 3053
Phone 03 9653 1700 | Fax 03 9653 1750
Registration renewals 2020/2021 Self Service Certificate Download


To avoid delays in processing please submit applications by email only while COVID-19 restrictions continue.

Application Forms and Payment

This section provides access to a series of application and notification forms relating to licensing, registration of premises and other approvals.

Please select the relevant form, download, print and make the appropriate payment. Email the completed form & payment receipt together to applications@pharmacy.vic.gov.au (The completed form will not be processed without providing the payment receipt.)

To commence the application process, click on your application in the list below.

Licences
pdfClick here for the Licences Information Sheet
VP11 Application for Pharmacy Business Licence - Pharmacist
VP12 Application for Pharmacy Business Licence - Company
VP13 Application for Pharmacy Business Licence Friendly Society
VP14 Application for Pharmacy Business Licence Friendly Soc Subsidiary
VP15 Application for Pharmacy Business Licence Amalgated Friendly Society
VP17 Application for Pharmacy Department Licence
Registration
VP21 Application for Registration of Pharmacy Premises
VP22 Application for Registration of Pharmacy Department Premises
VP23 Application for Registration of Pharmacy Depot premises
Approvals
VP41 Application for approval to dispense medicines in special circumstances
VP42 Application for renewal of approval to dispense medicines in special circumstances
VP43 Application for approval of another business or activity in pharmacy premises
Notifications
VP31 Change to commercial arrangements for pharmacy business
VP34 Notification of closure of registered pharmacy business, pharmacy department, pharmacy depot
VP35 Completion of alterations to existing pharmacy premises
VP36 Completion of new pharmacy premises
VP36a Completion of new Pharmacy DEPOT Premises
VP36b Completion of New Pharmacy Department Satellite
VP37 Transfer or sale of ownership of pharmacy business or pharmacy department
VP37a Discontinuance as Director or Shareholder of Licensed Company
VP38 Settlement of Purchase of Pharmacy - Pharmacist
VP38a Settlement of Purchase of Pharmacy - Company
VP39 Commencement new pharmacy business - pharmacist
VP39a Appointment as Director or acquisition of shares in Licensed Company
VP40 Commencement of new pharmacy business - Company
VP40a Commencement of new pharmacy department