Home
Forms Library
Indiana csr application

Application for indiana controlled substances registration (csr) 2025

indiana csr application Preview on Page 1

Show details

4 out of 5

45 votes

The document is an application form for Indiana Controlled Substances Registration (CSR) for practitioners, detailing the necessary information required for registration, including personal details, professional licensing information, and compliance questions regarding controlled substances. It emphasizes the mandatory disclosure of the Social Security number and includes an affirmation statement to ensure the accuracy of the provided information.

Here's how it works

01. Edit your indiana csr application 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 indiana controlled substance registration via email, link, or fax. You can also download it, export it or print it out.

The fastest way to redact Application for indiana controlled substances registration (csr) online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Dochub is a perfect editor for updating your paperwork online. Adhere to this straightforward guideline edit Application for indiana controlled substances registration (csr) in PDF format online free of charge:

Sign up and log in. Register for a free account, set a strong password, and go through email verification to start working on your templates.
Add a document. Click on New Document and select the form importing option: upload Application for indiana controlled substances registration (csr) from your device, the cloud, or a protected URL.
Make adjustments to the template. Take advantage of the upper and left-side panel tools to modify Application for indiana controlled substances registration (csr). Insert and customize text, pictures, and fillable fields, whiteout unneeded details, highlight the important ones, and comment on your updates.
Get your paperwork completed. Send the form to other parties via email, create a link for faster document sharing, export the template to the cloud, or save it on your device in the current version or with Audit Trail added.

Discover all the benefits of our editor today!

See more Application for indiana controlled substances registration (csr) versions

We've got more versions of the Application for indiana controlled substances registration (csr) form. Select the right Application for indiana controlled substances registration (csr) version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2023	4.4 Satisfied (41 Votes)
2016	4.9 Satisfied (31 Votes)
2015	4 Satisfied (45 Votes)
1997	4 Satisfied (48 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the IC code for controlled substance in Indiana?

(2) controlled substance or controlled substance analog (pure or adulterated), classified in schedule II, III, or IV; commits possession of a controlled substance, a Class A misdemeanor, except as provided in subsection (b).

What does CSR mean license?

A certificate signing request (CSR) is one of the first steps towards getting your own SSL/TLS certificate. Generated on the same server you plan to the certificate on, the CSR contains information (e.g. common name, organization, country) the Certificate Authority (CA) will use to create your certificate.

What is a CSR physician license in Indiana?

Practitioners must hold a CSR in order to prescribe, administer, store, dispense or otherwise handle controlled substances in the State of Indiana. One CSR is sufficient for a practitioner to prescribe controlled substances throughout Indiana.

What is a controlled substance registration number?

A DEA Registration Number is a unique identifier provided by the Drug Enforcement Agency to medical practitioners like pharmacists, nurse practitioners, doctors, dentists, etc allowing them to prescribe, dispense and administer drugs defined to be Controlled Dangerous Substances (CDS).

Which states require a CSR?

Description. The following states require a state Controlled Substance Registration: AL, CT, DC, HI, ID, IL, IN, IA, LA, MD, MA, MI, MO, NV, NJ, NM, OK, RI, SC, SD, UT, WY.

indiana controlled substance license

Indiana CSR application Indiana Controlled Substance License Verification Indiana controlled substance list DEA license Indiana Indiana dea application Indiana DEA license lookup What is a CSR license Controlled substance registration

Related forms

be ready to get more

Complete this form in 5 minutes or less

Get form

Are CSR and DEA the same?

Individuals who prescribe, administer, order, or store controlled substances are often required to complete a controlled substance registration (CSR) at the state level. The controlled substance registration with the state may also be required prior to applying for a federal DEA certificate.

What is a CSR dentist license?

State controlled substance registration requirements often apply to physicians, pharmacists, dentists, veterinarians, advanced practice nurses, researchers who work with controlled substances, and a variety of other medical professionals.

Application for indiana controlled substances registration (csr) 2025

Here's how it works

The fastest way to redact Application for indiana controlled substances registration (csr) online

See more Application for indiana controlled substances registration (csr) versions

Complete this form in 5 minutes or less

Got questions?

What is the IC code for controlled substance in Indiana?

What does CSR mean license?

What is a CSR physician license in Indiana?

What is a controlled substance registration number?

Which states require a CSR?

Complete this form in 5 minutes or less

People also ask

Are CSR and DEA the same?

What is a CSR dentist license?

indiana csr

Try more PDF tools