Dea form 106 2026

See details

4.3 out of 5

96 votes

The document is a report form for registrants to notify the Drug Enforcement Administration (DEA) of any theft or loss of controlled substances, as mandated by federal regulations. It outlines the necessary information to be provided, including details about the registrant, nature of the theft or loss, and security measures taken. The form must be completed in full, with copies submitted to the DEA and retained for records. Additionally, it includes privacy act information and consequences for failing to report.

Here's how it works

01. Edit your dea form 106 online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send dea 106 form via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out DEA Form 106 with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open DEA Form 106 in the editor.
Begin by entering your name and address in the designated fields, ensuring to include your ZIP code for accuracy.
Input your DEA Registration Number and the date of the theft or loss in the respective sections.
Select your principal business type from the provided options, such as Pharmacy or Manufacturer.
Indicate whether the theft was reported to the police and provide their contact information if applicable.
Detail the type of theft or loss by checking the appropriate box and completing any additional required fields.
List any controlled substances lost or stolen, including their trade names, NDC numbers, dosage forms, and quantities.
Review all entered information for accuracy before saving your completed form.

Start using our platform today to fill out DEA Form 106 quickly and efficiently!