We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Dea 222 Sample Form

Get Dea 222 Sample Form

University of Michigan Use of Controlled Substances in Research Sample DEA Form 222 No order form may be issued for Schedule I and II substances unless a See Reverse of PURCHASERS OMB APPROVAL completed.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the DEA 222 sample form online

The DEA 222 sample form is essential for ordering Schedule I and II controlled substances. This guide will provide clear and detailed instructions for users to effectively complete the form online, ensuring compliance and accuracy.

Follow the steps to efficiently complete the DEA 222 sample form online.

  1. Press the ‘Get Form’ button to obtain the DEA 222 sample form and open it in the editor.
  2. In section #1, enter the name of the supplier to whom the order is directed. Ensure that this is accurate to avoid any issues in processing the order.
  3. Input the street address of the supplier in section #2. Include any suite or apartment numbers if applicable.
  4. Fill in the city and state of the supplier in section #3, ensuring the information matches the supplied registration details.
  5. In section #4, indicate the date on which the form is being filled out. Use the format MM/DD/YYYY for clarity.
  6. For sections #5 and #6, specify the number of packages and the size of the packages being ordered. Indicate each type clearly — for instance, if ordering multiple vials or boxes, enter '1' for each box but indicate the total count of individual vials.
  7. Complete section #7 with the name of each controlled substance and its concentration or strength. Make sure to fit this description on one line.
  8. Upon completion of the required sections #1 through #7, do not alter the form. If errors appear, void the form and keep a record instead.
  9. After filling out the indicated fields, ensure that copies 1 (brown) and 2 (green) remain attached. These will be sent to the supplier. The supplier will fill out their sections (#10 to #13) before sending the necessary copy to the DEA.
  10. As the purchaser, keep the blue Copy 3 for your records, filling in the packages received and the date when the order arrives.
  11. Once complete, save changes, download, print, or share the finished form as required.

Complete your DEA 222 sample form online today to facilitate your controlled substance orders seamlessly.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

CSA Registration Tools: Login - DEA Diversion...
Having Trouble Logging In? Email Us: DEA.Registration.Help@usdoj.gov. Please include the...
Learn more
Sample DEA Form 222 - Research Ethics & Compliance
A. Purchaser completes: #1 - #9 (No cross outs, “write-overs” or initials are allowed...
Learn more
Part 80: Rules and Regulations on Controlled...
80.72 Issuance of official New York State prescription forms. 73 ... ordered. Schedule I...
Learn more

Related links form

Lab Using Wireshark To View Network Traffic Lab Using Wireshark To Examine A Udp Dns Capture FORM E See Rules 14 20 Amp 37 1 STATEMENT OF DEPOSITS WebVu User Request Form - Elavon Training

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

A DEA 106 form is required to report the theft or loss of controlled substances. This form plays a crucial role in maintaining compliance with federal regulations following an incident involving missing medications. If you are utilizing a DEA 222 Sample Form, it is important to also be aware of the implications of a DEA 106 form in your overall drug security strategy.

When executing a DEA Form 222, accuracy is paramount. Ensure that you fill out the form completely and double-check for any errors, as mistakes can lead to delays in receiving your controlled substances. Utilizing a DEA 222 Sample Form can help guide you through the process, making it easier to avoid common pitfalls.

A DEA Form 222 is a critical document that allows authorized individuals to order controlled substances. This form is essential for healthcare providers and pharmacies to maintain compliance with federal regulations. By using a DEA 222 Sample Form, you can simplify the ordering process while ensuring you meet all necessary legal requirements.

Last Line Completed: The line number that contains the LAST drug you are ordering. Do NOT skip any lines when completing the form and use only one line per item. This field MUST be filled in. If this is left blank or incorrect, the form will be returned to you for replacement.

supplier must retain Copy 1 of the DEA Form 222 for his or her files and forward. Special Agent in Charge of the Drug Enforcement Administration in the area in which the supplier is located. Copy 2 must be forwarded.

To complete a Form 222: Complete the name and address information at the top using the DEA certificate address. Enter name, size, and quantity of controlled substance(s). ... Enter last line completed. DEA Registrant sign and date at the bottom.

(e) The purchaser must record on its copy of the DEA Form 222 the number of commercial or bulk containers furnished on each item and the dates on which the containers are received by the purchaser.

The DEA Form 222 provides the DEA with oversight and control over the distribution of schedules I and II controlled substances.

(b) If a DEA Form 222 cannot be filled for any reason under this section, the supplier must return the original DEA Form 222 to the purchaser with a statement as to the reason (e.g., illegible or altered).

As of October 30, 2021, the Drug Enforcement Administration mandated the use of single sheet DEA 222 Forms for those providers who prescribe schedule 2 controlled substances (meperidine/, and ). At this time, triplicate DEA 222 forms are no longer be available or utilized, ing to federal law.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Dea 222 Sample Form
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232