Follow the steps to properly complete the log for controlled substance disposal.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the DEA Registrant name in the designated field, ensuring accurate representation of the registered entity responsible for the controlled substances.
3. Fill in the DEA Registration #, providing the unique registration number assigned to the registrant by the DEA.
4. Indicate the storage location by detailing the registration address, including the building name and room number where controlled substances are stored.
5. List the Schedule(s) involved by selecting the appropriate classification (I, II, III, IV, V) of the controlled substances being disposed of.
6. Record the Lot # or Tracking # associated with the controlled substance to ensure traceability.
7. Specify the Controlled Substance and Concentration in the respective field to identify what is being disposed of clearly.
8. Indicate the Amount Disposed of to document the quantity being disposed, adhering to regulatory requirements.
9. Provide the Reason for Disposal. This may include expiration, unusability, or lack of need.
10. Select the Disposal Route, indicating how the substance will be disposed of (e.g., returned to supplier, reverse distributor, or any alternative method). If using an alternative method, ensure to provide a full description.
11. Enter the DEA # of Recipient, detailing the registered number of the reverse distributor or supplier accepting the controlled substance for disposal.
12. Record the Returned Date, marking the date when the disposal took place.
13. Have the person responsible for the return print their name in the Returned by (Print Name) field.
14. Obtain the Returned by (Signature) for authorization of the disposal.
15. After all sections are filled accurately, save changes to the form. You can also download, print, or share the log as necessary.

Complete your Controlled Substance Disposal Log online today to ensure compliance with safety regulations.