Get 097 Other Controlled Substances Licenses - Illinois Department Of ...

Filling out the 097 Other Controlled Substances Licenses form is a crucial step for individuals and organizations in Illinois looking to handle controlled substances. This guide provides a clear and comprehensive overview of the form's components, ensuring users can complete it accurately and efficiently.

Follow the steps to complete your application effectively.

1. Click the ‘Get Form’ button to obtain the form and access it in an electronic format.
2. Begin by selecting the type of license you are applying for. Choose only one option from the list provided on the form, such as research, teaching, or chemical analysis.
3. Next, indicate the type of application you are submitting. This may include a new application, change of ownership, or reapplication. Again, select only one option.
4. Specify the type of business ownership you represent. Check one box that corresponds to your business structure, such as sole proprietor, partnership, or corporation.
5. If you are applying for a canine training license, complete the required section with your private detective or security agency license number and canine trainer authorization card number.
6. Provide the name of your firm or organization, and also include any assumed name (DBA) under which you operate.
7. Fill in your Federal Employer Identification Number (FEIN) and the designated representative's information, which includes their social security number, date of birth, and contact details.
8. List the address where controlled substances will be stored, along with the facility's city, state, zip code, and county.
9. Answer the question regarding your federal registration under the Federal Controlled Substances Act and provide the relevant information if applicable.
10. Check the applicable schedules for controlled substances you will handle and list specific drugs related to those schedules.
11. Complete the sections related to qualifications of personnel involved in handling controlled substances, detailing their experience and relevant information.
12. Finalize the form by signing in the indicated area to certify the accuracy of the information provided and confirm your understanding of the non-refundable fee policy.
13. Save your changes, download or print the completed form, and submit it along with the required fee to the specified address.

Start your application process online today and ensure compliance with Illinois regulations.