Get Il486 0719

The Il486 0719 is an essential application form for obtaining a license under the Illinois Controlled Substances Act. This guide will assist you in easily navigating and completing the form online, ensuring that all necessary information is accurately provided.

Follow the steps to complete the Il486 0719 application online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin filling out the required fields, starting with Item 1, where you will select the controlled substance profession you are applying for, such as research, manufacturer, or distributor. Ensure the selected profession aligns with the activities you intend to undertake.
3. In Item 3, provide the name of the person, firm, or entity applying for the license. This name must match the one used in your Drug Enforcement Administration Registration.
4. Complete Item 5a by entering the business address where the licensed activities will be conducted. This address must be valid and located within Illinois.
5. If you are an out-of-state applicant, provide a copy of your current DEA Registration in Item 7, where you indicate whether you have applied for or currently possess registration under the Federal Controlled Substances Act.
6. In Item 8, check all applicable drug schedules and list any specific drugs you intend to handle. For distributors, you need only check the relevant schedules without listing specific drugs.
7. Complete Item 10 by listing names and addresses involved in the handling and/or use of controlled substances, including any pertinent qualifications of personnel. Ensure that you include required details such as Date of Birth, Sex, and Social Security Number.
8. In Item 11, briefly describe the security measures in place for the storage of controlled substances and name the individual responsible for security.
9. Finalizing your application, certify that the information provided is true and correct by signing in the designated area at the end of the form. Make sure to include the date of submission.
10. Save your completed application and choose whether to download, print, or share the form as needed.

Complete your application for the Il486 0719 online today to ensure your compliance with Illinois regulations.