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Controlled substances form 2026

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The document is a Form DEA-41 used by the U.S. Department of Justice's Drug Enforcement Administration for registrants to record the destruction of controlled substances. It includes sections for registrant information, details of items destroyed, method of destruction, and witness declarations. The form ensures compliance with legal requirements for the disposal of controlled substances and must be retained for at least two years.

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Click ‘Get Form’ to open the controlled substances form in the editor.
In Section A, enter your registrant information including your registered name, DEA registration number, address, and contact details.
Move to Section B. For Inventory, list each controlled substance destroyed by entering the National Drug Code (NDC) or DEA Controlled Substances Code Number, along with the name, strength, and form of the substance.
If applicable, indicate the total quantity destroyed for both full packages and partial counts in Section B.
In Section C, provide the date of destruction and method used. Ensure that it meets all legal requirements for rendering substances non-retrievable.
Section D requires signatures from two authorized witnesses who observed the destruction. Make sure they print their names and sign accordingly.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (70 Votes)
2018	4.2 Satisfied (51 Votes)
1986	4.7 Satisfied (27 Votes)

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What is a DEA form 41 used for?

PURPOSE: To document the surrender of controlled substances which have been forwarded by registrants to DEA for disposal. ROUTINE USES: This form is required by Federal Regulations for the surrender of unwanted Controlled Substances.

What is DEA form 41 used for?

DEA Form 41 is used to request permission from the DEA to destroy controlled substances. The only time University researchers use Form 41 is after controlled substances have been lost due to accidentally spilling or breaking a container.

When must form 41 be submitted to the DEA?

You are not required to submit this form to DEA, unless requested to do so. This form must be kept as a record of destruction and be available by the registrant for at least two years in accordance with 21 U.S.C. 827.

What is a DEA 224 form used for?

DEA Form 224: Application for Registration Under the Controlled Substances Act. This is the form pharmacies use to apply for a new registration with the DEA to dispense controlled substances. Its a crucial step for any pharmacy before beginning operations involving controlled substances.

What is used to report theft of controlled substances to DEA select one DEA form 41 DEA form 106 DEA form 222 DEA form 224?

The DEA Form 106 can be completed via Theft/Loss Reporting Online (TLR). In order to better track controlled substances and listed chemical products reported as lost or stolen, DEA uses of the National Drug Code (NDC) number.

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What is a 222 form for controlled substances?

Using DEA Form 222 to transfer Schedule II Drugs To transfer a C-II controlled substance, like sodium pentobarbital, between laboratories, a DEA Form 222 order form is required. The receiving party must have a DEA Form 222. One laboratory is the supplier, acting like a pharmacy.

What are the four types of controlled substances?

Controlled Drugs Schedule I drugs with a high abuse risk. These drugs have NO safe, accepted medical use in the United States. Schedule II drugs with a high abuse risk, but also have safe and accepted medical uses in the United States. Schedule III, IV, or V drugs with an abuse risk less than Schedule II.

Controlled substances form 2026

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