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Get Dea 222 Sample Form
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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.
- Press the ‘Get Form’ button to obtain the DEA 222 sample form and open it in the editor.
- 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.
- Input the street address of the supplier in section #2. Include any suite or apartment numbers if applicable.
- Fill in the city and state of the supplier in section #3, ensuring the information matches the supplied registration details.
- In section #4, indicate the date on which the form is being filled out. Use the format MM/DD/YYYY for clarity.
- 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.
- Complete section #7 with the name of each controlled substance and its concentration or strength. Make sure to fit this description on one line.
- 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.
- 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.
- As the purchaser, keep the blue Copy 3 for your records, filling in the packages received and the date when the order arrives.
- 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.
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.
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