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DPS INTERNAL USE ONLY Texas Department of Public Safety Regulatory Services Division www.dps.texas.gov NO FILL CII FORM DPS Number DEA Number TSP Number This pharmacy HAS NOT REPORTED Schedule II
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No fill CIIV form is a form that is submitted when there is no fill information regarding certain aspects.
Entities or individuals who do not have complete information for filling out the CIIV form are required to file the no fill CIIV form.
To fill out the no fill CIIV form, simply input the information that is available and mark the areas where information is missing as 'No Fill' or 'NF'.
The purpose of the no fill CIIV form is to ensure that all required information is reported, even if some information is missing.
All available information must be reported on the no fill CIIV form, and any missing information must be clearly indicated as 'No Fill'.
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