Report Of Loss Of Controlled Substances printable pdf download
Dea Form 106. Make two additional copies of the completed form. Do not use this form to correct minor inventory shortages.
Report Of Loss Of Controlled Substances printable pdf download
Web the drug enforcement administration (dea) is publishing this final rule amending the regulations regarding dea form 106, used by dea registrants to formally report thefts or significant losses of controlled substances, to require that all such forms be submitted electronically, and to clarify the. The following is the relevant information for research registrants: Breakage or spillage of controlled substances is not reported under dea form 106 and is instead reported under dea form 41 Do not use this form to correct minor inventory shortages. Web the dea expressly requires that any theft or significant loss of controlled substances should be reported in writing to the area dea field office on dea form 106 either electronically or manually within one business day of the discovery. Complete page 1, and either page 2 or 3. 2 list of controlled substances lost trade name of substance or preparation name of controlled substance in preparation dosage strength and form quantity examples: Our service gives you an extensive selection of templates available for filling out on the. Web to report an impaired licensee, file a complaint with the california state board of pharmacy within 14 days of discovery. Thefts and significant losses must be reported whether or not the controlled substances are subsequently recovered or the responsible parties are identified and action taken against them.
You are reporting the theft or loss of a controlled substance. You should submit the form when your facility has a “significant” amount of controlled substances go missing through being misplaced or stolen. Do not use this form to correct minor inventory shortages. You are registered with the dea, or. Complete page 1, and either page 2 or 3. You are reporting the theft or loss of a controlled substance. Web the dea expressly requires that any theft or significant loss of controlled substances should be reported in writing to the area dea field office on dea form 106 either electronically or manually within one business day of the discovery. Web the registrant must also complete, and submit to the local diversion field office in his or her area, dea form 106 regarding the theft or loss. Web to report an impaired licensee, file a complaint with the california state board of pharmacy within 14 days of discovery. Our service gives you an extensive selection of templates available for filling out on the. Department of justice drug enforcement administration diversion control division type of report:(check one box only) new reportamendment key (prior report dated):
