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MichiganStateUniversityControlledSubstanceTransferRequestForm Date: SupplierInformation SupplierRegistrant: SupplierDEA#: SupplierAddress: RecipientInformation RecipientRegistrant: RecipientDEA#:.

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How to fill out the Controlled Substance Transfer Request Form online

Filling out the Controlled Substance Transfer Request Form online is a critical step in ensuring the legal and safe transfer of controlled substances. This guide provides clear, step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to complete the Controlled Substance Transfer Request Form.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by filling out the 'Supplier Information' section. Enter the supplier registrant's name and address. This identifies the entity transferring the controlled substances.
  3. Next, complete the 'Recipient Information' section. Input the recipient registrant's name and address. This information is crucial as it specifies who will receive the controlled substances.
  4. Fill in the Supplier DEA # and Recipient DEA # fields, ensuring that both parties are registered with the Drug Enforcement Administration and authorized to handle controlled substances.
  5. Answer the questions regarding approval to possess the scheduled substances being transferred and check if the transfer complies with the 5% annual limit for the supplier.
  6. Detail the controlled substance being transferred. Include information such as container size, concentration, amount in the container, and DEA schedule classification.
  7. If the controlled substances fall under Schedule I or II, remember to include DEA Form 222 as required for these schedules.
  8. At the bottom of the form, both the Supplier Registrant or Authorized User and the Recipient Registrant or Authorized User must sign and date the document. Ensure these signatures are dated accurately.
  9. Once all fields are completed, review the form for accuracy. After verifying the information, save changes, download, print, or share the form as needed.

Complete your Controlled Substance Transfer Request Form online today for efficient and compliant processing.

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Questions & Answers

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Contact support

DEA 222 forms may be ordered by calling: DEA Headquarters Registration Unit toll free at 800-882-9539.

DEA Form 106 Report of Theft or Loss of Controlled Substances (and disposal receptacles)

This form is for new applicants. Any person who does not currently possess a DEA registration to conduct business with controlled substances in the following categories may access the application form.

DEA 222 forms are available to active registrants at no charge. DEA 222 forms may be ordered by calling: DEA Headquarters Registration Unit toll free at 800-882-9539.

DEA 222 forms may be ordered by calling: DEA Headquarters Registration Unit toll free at 800-882-9539.

No DEA Form 222 is valid more than 60 days after its execution by the purchaser, except as specified in paragraph (f) of this section.

DEA Form 106 Report of Theft or Loss of Controlled Substances (and disposal receptacles)

Question: Who can sign executed DEA 222 Order Forms? Answer: Registrants, and individuals given power of attorney by registrants, can sign DEA 222 order forms. Any registrant may authorize one or more individuals to obtain and execute DEA Forms 222 by granting a power of attorney to each such individual.

Answer: Registrants, and individuals given power of attorney by registrants, can sign DEA 222 order forms. Any registrant may authorize one or more individuals to obtain and execute DEA Forms 222 by granting a power of attorney to each such individual.

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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