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Get Doj Dea-106 2000
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How to fill out the DoJ DEA-106 online
The DoJ DEA-106 form is essential for reporting the theft or loss of controlled substances. This guide will provide clear instructions on how to accurately complete this form online, ensuring compliance with federal regulations.
Follow the steps to fill out the DoJ DEA-106 form online
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by filling in the name and address of the registrant, ensuring to include the ZIP code.
- Enter the phone number including area code in the designated field.
- Provide your DEA registration number correctly in the appropriate section.
- Input the date of the theft or loss, formatted appropriately.
- Select the principal business of the registrant by checking one of the provided options: Pharmacy, Practitioner, Manufacturer, Hospital/Clinic, Distributor, Program, or Other.
- Fill in the county where the registrant is located.
- Indicate whether the theft was reported to the police by checking 'Yes' or 'No,' and provide the name and telephone number of the police department if applicable.
- State the number of thefts or losses experienced by the registrant in the past 24 months.
- Select the type of theft or loss by checking one of the options such as Night break-in, Armed robbery, Employee pilferage, Customer theft, or Other.
- If applicable, provide details regarding whether anyone was killed or injured during an armed robbery.
- Complete the purchase value of the controlled substances taken.
- Indicate whether any pharmaceuticals or merchandise were taken, and provide an estimated value if applicable.
- If the loss was 'lost in transit', complete the following: name of common carrier, name of consignee, consignee's DEA registration number, and indicate whether the carton was received by the customer and if it appeared tampered.
- Describe any identifying marks, symbols, or price codes found on the labels of the containers.
- If Official Controlled Substance Order Forms (DEA-222) were stolen, provide those numbers.
- Note the security measures taken to prevent future thefts or losses.
- Review all sections for accuracy and completeness.
- Once satisfied with the information entered, save changes to the form.
- You may now download, print, or share the completed form as needed.
Take the next step in compliance by completing your DEA-106 form online.
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The DEA requirements include maintaining accurate records, securing controlled substances, and reporting any discrepancies. For businesses, compliance with the DoJ DEA-106 is essential to avoid penalties. Organizations must ensure that they regularly update their procedures to align with DEA guidelines. Platforms like uslegalforms can be instrumental in maintaining compliance.
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