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FORM 626 Initial Application Renewal APPLICATION FOR MEDICAL CASE MANAGER Please complete the following, sign under penalty of perjury and return with a current resume to the: COURT OF EXISTING CLAIMS
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Form 626 is an application for registration under the Controlled Substances Act.
Manufacturers, distributors, researchers, importers, exporters, and other handlers of controlled substances are required to file form 626.
Form 626 must be completed accurately with all required information, including details of the controlled substances being handled, security measures, and applicant information.
The purpose of form 626 is to register facilities and individuals who handle controlled substances, ensuring compliance with the Controlled Substances Act.
Information such as applicant details, controlled substance schedules, security measures, and drug codes must be reported on form 626.
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