Application form dea 2026

1. Click ‘Get Form’ to open the application form DEA-253 in the editor.
2. In Section 1, enter your last name, first name, and middle initial. If you do not have a middle initial, enter 'X'.
3. Provide your Social Security Number and business phone number. Ensure that the phone number is valid for correspondence regarding your application.
4. Input your email address, ensuring it is unique and not shared with other applicants. Enter your DEA Registration Number exactly as it appears on your certificate.
5. Complete the security code field using letters only. Indicate the number of addendums if applicable.
6. In Section 2, sign and date the application in blue or black ink in front of a certified notary public.
7. Section 3 requires a signature from the Principal or Alternate Coordinator verifying your identity. Ensure this is completed before submission.

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