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Get the free DEA Form 41 - Department of Justice

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NOAA Form 571012 (212)CONTROLLED SUBSTANCE INVENTORY LOGO. S. DEPARTMENT OF COMMERCE NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION Page of NOAA ShipMedicationExpiration DateManufacturerStrengthLot
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How to fill out dea form 41

01
To fill out DEA Form 41, follow these steps:
02
Start by providing your personal information at the top of the form, including your name, address, and contact information.
03
In the 'Item Number' column, enter the number associated with the controlled substance you are looking to dispose of. If you have multiple substances, you may need to fill out multiple forms.
04
Provide a detailed description of the substances in the 'Description of Controlled Substances' column. Include information such as the generic name, brand name (if applicable), quantity, and strength of each substance.
05
Indicate the form of the substances under 'Formulation' (e.g. powder, liquid, tablets) and the total weight or volume in the 'Quantity' column.
06
Fill out the 'Estimated Street Value' column only if applicable, and provide an estimated value for the controlled substances being disposed of.
07
Sign and date the form at the bottom, certifying the information provided is true and accurate.
08
Submit the completed DEA Form 41 to the appropriate authority or agency as instructed.

Who needs dea form 41?

01
DEA Form 41 is required by individuals or entities who are registered with the Drug Enforcement Administration (DEA) and are interested in disposing of controlled substances.
02
This form is typically used by healthcare institutions, pharmacies, research facilities, manufacturers, distributors, or any other entity licensed or authorized to handle controlled substances.
03
It is important to consult with the DEA regulations and guidelines to determine if you are eligible and required to fill out DEA Form 41 for specific disposal purposes.
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DEA Form 41 is a form used by registrants to notify the Drug Enforcement Administration (DEA) of the destruction of controlled substances.
All registered entities that possess controlled substances and need to dispose of them are required to file DEA Form 41.
To fill out DEA Form 41, registrants must provide details such as the registrant's name, address, DEA registration number, the type and quantity of controlled substances to be destroyed, and the method of disposal.
The purpose of DEA Form 41 is to maintain records of the destruction of controlled substances, ensuring compliance with federal regulations.
Information that must be reported includes the registrant's details, the names and quantities of controlled substances being destroyed, and the method and date of destruction.
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