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TOWN OF LAFAYETTE APPLICATION
PLEASE PRINT ALL INFORMATION REQUESTEDAPPLICANTS MAY BE TESTED FOR ILLEGAL DRUGSTORE ___
Name ___
Last
First
Middle
Present address ___
Number
Street
City
State
Zip
How
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What is have form drugs changed?
The have form drugs changed refers to a specific regulatory form that tracks changes in the status or composition of controlled substances.
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Information such as the drug name, quantity, changes in formulation, and related identification numbers must be reported on have form drugs changed.
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