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How to fill out the Reporting Drug Theft In Maine Form online
This guide provides comprehensive instructions for completing the Reporting Drug Theft In Maine Form online. It aims to assist users in accurately submitting reports related to drug theft, loss, or unresolved discrepancies in a clear and straightforward manner.
Follow the steps to fill out the Reporting Drug Theft In Maine Form online:
- Click the ‘Get Form’ button to access the Reporting Drug Theft In Maine Form and open it for editing.
- Enter the name of the pharmacy in the designated field.
- Input the pharmacy license number in the appropriate section.
- Specify the pharmacy location by providing the city, state, and ZIP code.
- Indicate the license expiration date for the pharmacy.
- Select the applicable report type by checking the relevant box: Drug Loss Report, Inventory Unresolved Discrepancy, or Theft Report.
- If a suspect has been identified, print the suspect's name legibly and provide their license number and expiration date.
- Record the date when the loss, theft, or inventory discrepancy was discovered.
- Choose the reporting method by selecting one of the following options: detailed letter, facsimile transmission, email description, or copy of the DEA Form 106 report.
- Sign and print the name of the pharmacist in charge, along with their license number.
- Complete the attestation section by signing and dating the form to certify the accuracy of the information provided.
- Ensure to attach the Drug Loss, Theft, Unresolved Discrepancy Inventory Report Cover Page with the official report before submission.
Complete your Reporting Drug Theft In Maine Form online today to ensure compliance and facilitate prompt processing.
The local DEA requires that any theft or loss of controlled substances be reported within one business day. This quick reporting helps the DEA take necessary actions to prevent further incidents. Be sure to gather all relevant details about the loss before completing the Reporting Drug Theft In Maine Form. This ensures that your report is thorough and accurate.
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