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
  • Executive Forms
  • Executive Department DOJ Forms
  • Doj Form Dea-41 2021

Get Doj Form Dea-41 2021-2025

Expiration Date 1/31/2024OMB APPROVAL NO. 11170007U. S. DEPARTMENT OF JUSTICE DRUG ENFORCEMENT ADMINISTRATIONREGISTRANT RECORD OF CONTROLLED SUBSTANCES DESTROYED FORM DEA41A. REGISTRANT INFORMATION.

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 DOJ Form DEA-41 online

Completing the DOJ Form DEA-41 online is essential for registrants who need to document the destruction of controlled substances. This guide offers step-by-step instructions to help users navigate the process with ease.

Follow the steps to accurately fill out the form online.

  1. Click the ‘Get Form’ button to access the form and open it in your preferred online editor.
  2. In Section A, provide registrant information. Enter the registered name, DEA registration number, registered address (including city, state, and zip code), telephone number, and contact name if different from the registered name.
  3. Proceed to Section B, where you will document items destroyed. This may include two parts: Inventory for lawfully possessed controlled substances and Collected Substances from authorized collection activities. Fill in details for each item, including National Drug Code or DEA Controlled Substances Code Number, name of substance, strength, form, package quantity, and total destroyed.
  4. In Section C, indicate the date of destruction, method of destruction, and provide the location or business name along with the address, city, state, and zip code.
  5. Complete Section D by having two authorized employee witnesses sign and print their names, along with the date, to confirm they personally witnessed the destruction of the substances listed.
  6. Review all entered information for accuracy before finalizing. Ensure that all fields are filled out according to the instructions provided.
  7. Once you have completed the form, save your changes. You can then download, print, or share the form as needed.

Begin filling out your forms online today to ensure compliance and proper documentation.

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

DEA Form 41 - DEA Diversion - Department of...
The information collected on this form is necessary for DEA registrants to record...
Learn more
DEA Form 41 - Department of Justice
U. S. DEPARTMENT OF JUSTICE – DRUG ENFORCEMENT ADMINISTRATION. REGISTRANT RECORD OF...
Learn more
Drug Enforcement Administration - Wikipedia
The Drug Enforcement Administration is a United States federal law enforcement agency...
Learn more

Related links form

MO MO-CFC 2022 SE Migrationsverket 227021 2022 MD MCPS Form 230-35 2022 NY NYCHA Training Program Application 2010

Questions & Answers

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

Contact support

The information collected on this form is necessary for DEA registrants to record controlled substances destroyed in ance with the Controlled Substances Act (CSA).

Theft and/or misuse of a controlled substance is a criminal act. A significant loss can be either a pattern of small losses over time or one-time loss and is relative to the amount of controlled substance used by the registrant on average.

1. DEA Form 222 ( must be completed in pen, typewriter, or indelible pencil).

Significant Loss means any loss of a Prescription Drug that exceeds a reasonable level established by like persons which requires that loss to be reported to the Board or as required by Drug Enforcement Administration or other state and/or federal agencies for Prescription Drugs and controlled substances.

What is a controlled (scheduled) drug? Schedule I — drugs with a high abuse risk. ... Schedule II — drugs with a high abuse risk, but also have safe and accepted medical uses in the United States. ... Schedule III, IV, or V — drugs with an abuse risk less than Schedule II.

Using DEA Form 222 to Order Controlled Substances | UMN University Health & Safety.

Hub loss: Standard hub loss is considered to be 0.05 ml/stick. To determine if the loss is attributable to hub loss, multiply the number of sticks since last check by 0.05ml. This is the acceptable hub loss.

The DEA Form 106 can be completed via Theft/Loss Reporting Online (TLR) or download the fillable PDF version and submit to your Local Diversion Field Office. In order to better track controlled substances and listed chemical products reported as lost or stolen, DEA uses of the National Drug Code (NDC) number.

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 DOJ Form DEA-41
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
Help Portal
Legal Resources
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
Help Portal
Legal Resources
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