Get the free DEA Form 222 - Official Order Forms - DEA Diversion Control
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FORM 21 Court file #(Practice Directive # 21)IN THE NUNAVUT COURT OF JUSTICE
IN THE MATTER OF the Child and Family Services Act, S.N.W.T., 1998, c. 34, as amended,
and as duplicated for Nunavut by
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How to fill out dea form 222
How to fill out dea form 222
01
To fill out DEA Form 222, follow these instructions:
02
Enter the date of the order in Box 1.
03
In Box 2, enter the name and address of the supplier from whom you are ordering the controlled substances.
04
In Box 3, enter the supplier's DEA registration number.
05
Enter your DEA registration number in Box 4.
06
Provide the name, strength, and dosage form of the controlled substance being ordered in Box 5.
07
Specify the number of packages or items being ordered in Box 6.
08
In Box 7, enter the size of each package or container.
09
If partial fills are allowed, tick the checkbox in Box 8 and indicate the quantities you are willing to accept for partial fills.
10
Sign and date the form in Box 9.
11
Keep a copy of the completed form for your records and send the original to the DEA office responsible for your area.
Who needs dea form 222?
01
DEA Form 222 is required by any individual or entity registered with the Drug Enforcement Administration (DEA) who wishes to order Schedule I or II controlled substances. This includes manufacturers, distributors, pharmacies, hospitals, and practitioners who handle or prescribe controlled substances.
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What is dea form 222?
DEA Form 222 is a triplicate form used for ordering Schedule I and II controlled substances.
Who is required to file dea form 222?
Any individual or entity that wants to order Schedule I and II controlled substances must file DEA Form 222.
How to fill out dea form 222?
DEA Form 222 must be filled out with the name and address of the supplier, the name and address of the purchaser, and the specific details of the controlled substances being ordered.
What is the purpose of dea form 222?
The purpose of DEA Form 222 is to regulate the distribution of Schedule I and II controlled substances and prevent their abuse.
What information must be reported on dea form 222?
DEA Form 222 must include details such as the name and address of the supplier, the name and address of the purchaser, the DEA registration number of both parties, and the specific controlled substances being ordered.
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