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Get Dea Form 41 Printable
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How to fill out the Dea Form 41 Printable online
Completing the Dea Form 41 Printable is an important process for registrants managing controlled substances. This concise guide offers step-by-step instructions to ensure accurate and efficient completion of the form online.
Follow the steps to fill out the Dea Form 41 Printable with ease.
- Click the ‘Get Form’ button to obtain the form and open it in your chosen editor.
- In Section A, provide the registrant information including the registered name, DEA registration number, address, city, state, zip code, telephone number, and a contact name if different from the registrant.
- Proceed to Section B to document the items being destroyed. For Inventory, fill in each row with the National Drug Code or DEA Controlled Substances Code Number, batch number if available, the name and strength of the substance, and the total quantities destroyed. If applicable, indicate the details for Collected Substances by entering the unique identification numbers.
- In Section C, record the date of destruction, the method of destruction, and the location or business name where the destruction occurred, along with the address details.
- For Section D, two authorized employee witnesses must declare their presence during the destruction. Include their printed names, signatures, and the dates of witnessing.
- Review all your entries for accuracy and completeness. If more space is needed, attach additional pages for any extra controlled substances destroyed.
- Finally, save your changes, download a copy for your records, print the completed form, or share it as needed.
Complete your documents online for a hassle-free experience.
The Drug Enforcement Administration (DEA), Office of Diversion Control, will accept requests from distributors that require a large volume of Order Forms (DEA Form 222) with the pin feed tracking left on the form. Order Forms are used for the distribution of a Schedule I or II controlled substance.
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