Get Dea-363 2012

The DEA-363 form is essential for registering under the Narcotic Addict Treatment Act. This guide provides clear and detailed instructions on how to complete the form online, ensuring that you provide all necessary information accurately.

Follow the steps to fill out the DEA-363 online.

1. Click ‘Get Form’ button to access the DEA-363 form and open it in the editor.
2. In Section 1, provide your applicant identification. Fill in your business or facility name, place of business address, and contact information. Ensure all details are accurate to reduce application errors.
3. In Section 2, select one business activity that describes your operations. Only one box should be checked, indicating your primary activity.
4. In Section 3, indicate the drug schedules you will handle by checking the appropriate boxes. If you need order forms for schedule 2 controlled substances, ensure to mark the corresponding box.
5. In Section 4, input your state license information, ensuring you comply with applicable state laws pertaining to the handling of controlled substances.
6. In Section 5, answer all liability questions truthfully. If you answer 'Yes' to any question, provide a detailed explanation regarding the incidents.
7. In Section 6, if applicable, mark the exemption from the application fee. Ensure that the certifying official's contact information is complete.
8. In Section 7, select your method of payment, ensuring only one payment option is checked. Complete the necessary payment details, including the signature of the cardholder if applicable.
9. In Section 8, sign the application in ink. Your signature certifies the accuracy of the information provided. Without this signature, the application will not be processed.
10. Once all sections are completed, save your changes to the document. You may then download, print, or share the form as needed.

Complete your DEA-363 application online to ensure a smooth registration process.