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Click ‘Get Form’ to open the DEA 222 form in the editor.
Begin by entering the name of the supplier, address, city, and state. For example, you would input 'Zoopharm', '3131 Grand Ave, Suite B', 'Laramie', and 'WY'.
Next, fill in the date on which you are completing the form. Ensure this is accurate as it is crucial for record-keeping.
Indicate the number of packages, size, and desired strength of the substances being ordered. Be precise to avoid any discrepancies.
Only enter the number of lines used in this section; for instance, if you completed two lines, write '2'.
Finally, ensure that a veterinarian’s signature is included at the bottom of the form before submission.
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What is the most important consideration when executing a dea form 222?
Question: What is the MOST important consideration when executing a DEA Form 222? The supplier gets a copy of the DEA form for their records. Any errors made on the order form should be erased completely. Enter only one item on each numbered line.
How to handle dea form 222?
To complete a Form 222: Complete Part 1. Name and Title. Signature of DEA Registrant. Date. Enter name, size, and quantity of controlled substance(s). Complete Part 2. Supplier DEA Number. Supplier address. Make a copy of the signed form before submitting your order form. Fill in Part 5 on copy once the order is received.
What is the dea form 222?
The Drug Enforcement Administration (DEA), Office of Diversion Control, will accept requests from distributors that require a large volume of Order Forms (DEA Form 222) with the pin feed tracking left on the form. Order Forms are used for the distribution of a Schedule I or II controlled substance.
What are the record keeping requirements for dea form 222?
(a) The purchaser must retain a copy of each executed DEA Form 222 and all copies of unaccepted or defective forms with each statement attached. (b) The supplier must retain the original of each DEA Form 222 that it has filled. (c) DEA Forms 222 must be maintained separately from all other records of the registrant.
What is an important point to remember about dea form 222?
Remember: Your form must be complete, legible, appropriately signed, and cannot have any alterations, erasures, cross outs, or other types of changes. If not, your supplier will refuse to fill your order.
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