DOJ Form DEA-41 1986 free printable template
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OMB Approval No. 1117 0007 U. S. Department of Justice / Drug Enforcement Administration PACKAGE NO. REGISTRANTS INVENTORY OF DRUGS SURRENDERED The following schedule is an inventory of controlled
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How to fill out DOJ Form DEA-41
How to fill out DOJ Form DEA-41
01
Obtain a copy of the DOJ Form DEA-41 from the DEA website or local DEA office.
02
Fill in the registrant's name, address, and DEA registration number at the top of the form.
03
Specify the date of disposal of controlled substances in the appropriate section.
04
List the controlled substances being disposed of, including their names, quantities, and dosage forms.
05
Indicate the method of disposal, whether it be transfer to another registrant, destruction, or another method as applicable.
06
Sign and date the form to certify that the information provided is accurate and complete.
07
Keep a copy of the completed form for your records and submit the original to the DEA.
Who needs DOJ Form DEA-41?
01
Registered manufacturers, distributors, or practitioners who need to dispose of controlled substances.
02
Controlled substance registrants who are required to report the destruction or disposal of these substances.
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People Also Ask about
Who uses DEA 222 forms?
Answer: Registrants, and individuals given power of attorney by registrants, can sign DEA 222 order forms. Any registrant may authorize one or more individuals to obtain and execute DEA Forms 222 by granting a power of attorney to each such individual.
Which DEA form is used for the destruction of controlled substances?
§ 1317.05 Registrant disposal. The DEA Form 41 shall list the controlled substance or substances which the registrant desires to dispose. (C) By destruction in the presence of an agent of the Administration or other authorized person.
What is considered a significant loss of a controlled substance?
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.
What is the DEA form 106 used for?
Privacy Act Information for DEA Form 106: Section 301 of the Controlled Substances Act of 1970 (PL-513). PURPOSE: Report theft or loss of Controlled Substances.
What is DEA form 107 used for?
The DEA-107 is for reporting any theft or loss of Listed Chemicals. Use this form if: You are reporting the theft or loss of a listed chemical.
What is the purpose of DEA form 41?
The information collected on this form is necessary for DEA registrants to record controlled substances destroyed in ance with the Controlled Substances Act (CSA).
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What is DOJ Form DEA-41?
DOJ Form DEA-41 is a form used to report the disposal or destruction of controlled substances.
Who is required to file DOJ Form DEA-41?
Individuals and entities that possess controlled substances, such as pharmacies, hospitals, and research facilities, are required to file DOJ Form DEA-41 when disposing of these substances.
How to fill out DOJ Form DEA-41?
To fill out DOJ Form DEA-41, you need to provide details such as your registration number, the date of disposal, the method of disposal, and a description of the controlled substances being disposed of.
What is the purpose of DOJ Form DEA-41?
The purpose of DOJ Form DEA-41 is to maintain accountability of controlled substances and ensure compliance with federal regulations regarding their disposal.
What information must be reported on DOJ Form DEA-41?
Information that must be reported includes the registrant's name and address, DEA registration number, date of disposal, method of disposal, and a detailed description of the controlled substances.
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