We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Multi-State Forms
  • Dea Form - 224b (9/98)

Get Dea Form - 224b (9/98)

DEA Form 224BAffidavit for Chain Renewal DEA Retail Pharmacy RegistrationsOMB No. 11170014 Expiration date: (MM/DD/YYYY)Privacy Act Information AUTHORITY: Section 302 and 303 of the Controlled Substances.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the DEA Form - 224B (9/98) online

Completing the DEA Form - 224B (9/98) online is a straightforward process essential for retail pharmacy registrations. This guide will provide you with clear and detailed instructions to ensure that your form is filled out accurately and efficiently.

Follow the steps to complete your DEA Form - 224B online.

  1. Press the ‘Get Form’ button to access the DEA Form - 224B online and open it for editing.
  2. Locate the section labeled 'Affidavit for Chain Renewal.' This section confirms that the answers provided are applicable to each registration on the attached list.
  3. In the first question, indicate whether the listed locations are currently authorized to handle controlled substances by selecting 'Yes' or 'No'.
  4. For the second question, answer whether the applicant has ever been convicted of a crime related to controlled substances. Again, select 'Yes' or 'No'.
  5. If applicable, in the third question, confirm if any officer, partner, or stockholder has faced similar issues by selecting 'Yes' or 'No'. Include a statement if any responses were affirmative.
  6. Ensure that the form is signed by an authorized individual, using an original ink signature. Include the date of signing and the individual's title.
  7. Provide the applicant's business phone number in the designated field.
  8. Finally, indicate the application fee for the attached registrations and review all entered information carefully.
  9. Upon completion, save the changes made to the form, and consider downloading, printing, or sharing the finalized document as needed.

Start filling out your DEA Form - 224B online today for a smooth registration process.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

GPO Access - Govinfo.gov
for individual copies in paper form is $8.00 for each issue, or. $8.00 for each...
Learn more
Suwannee Democrat - University of Florida
Aug 9, 2013 — Additional Physical Form: Also available on microfilm from the ... H 9 2 E...
Learn more

Related links form

IAC 7/2/08 Secretary Of State 721 Ch 4, P.1 CHAPTER 4 FORMS ... - Legis Iowa RFP FORMS CS " SERIES " - Legis Iowa PROPOSAL COVER PAGE - Iowa Legislature - Legis Iowa Request For Proposals - Iowa Legislature - State Of Iowa - Legis Iowa

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

(2) The supplier must retain Copy 1 of each triplicate DEA Form 222 that it has filled. (3) Triplicate DEA Forms 222 must be maintained separately from all other records of the registrant. Triplicate DEA Forms 222 are required to be kept available for inspection for a period of two years.

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 Forms 222 for carfentanil, etorphine hydrochloride, and diprenorphine must contain only these substances. (c) The name and address of the supplier from whom the controlled substances are being ordered must be entered on the form.

DEA form 222, allows DEA registrants to transfer Schedule I and II controlled substance drugs and also comply with record-keeping good practices.

(a) A purchaser must prepare and execute a DEA Form 222 by use of a typewriter, computer printer, pen, or indelible pencil. (b) Only one item may be entered on each numbered line.

DEA Form 222 General Information Each book of DEA Official Order Forms consists of seven sets of forms.

Requests for Order Forms are to be sent to the Drug Enforcement Administration, Diversion Control Division, ATTN: Chief - Registration Unit, Attn: Registration Section/DRR P.O. Box 2639 Springfield, VA 22152-2639, or may be faxed to (202) 307-8485.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get DEA Form - 224B (9/98)
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232