Get E222 Form

Filling out the E222 Form online can be a straightforward process when you understand the necessary steps. This guide will provide you with clear instructions on how to complete each section of the form efficiently.

Follow the steps to successfully complete the E222 Form online.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Locate the 'Ship-To Acct# of Address Registered with CSOS' field. Enter the account number associated with your registered address for the Controlled Substance Ordering System.
3. In the '9-Digit DEA# Registered with CSOS' field, provide your valid DEA number as registered with CSOS.
4. Complete the 'Exact Name Registered with CSOS' section with the official name that matches your CSOS registration.
5. Enter the 'Email Address of Individual Placing e222 Orders'. This should be the email of the person authorized to place orders through the e222 system.
6. Fill in the 'Phone Number of Individual Placing e222 Orders' with an accurate contact number for the registered individual.
7. Review all the entered information for accuracy before proceeding to submit the form.
8. At the end of the process, you will have the option to save your changes, download the form, print it, or share it as needed.

Begin completing your E222 Form online today to ensure a smooth enrollment process.