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Authorized signature log

Authorized signature log 2026

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The document is a signature log for Authorized Users designated by a DEA Registrant at the University of Minnesota, required for compliance with controlled substances policy. It includes sections for lab details, user signatures, job titles, and departure dates, emphasizing the need to update suppliers about authorized personnel.

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Click ‘Get Form’ to open the authorized signature log in the editor.
Begin by filling in the 'Lab Name' and 'Department' fields. Ensure that you provide accurate information as this identifies your lab.
Next, enter the 'Lab Location Address,' including the street address and building details for precise identification.
In the 'DEA Registrant Name' field, print your name clearly along with your DEA number to validate your authority.
For each authorized user, fill out their 'Date Signed,' 'Name,' 'Job Title,' 'Signature,' and 'Initials.' This ensures all designated individuals are documented properly.
If any user is no longer authorized, enter their departure date in the 'Date Departed' section to maintain up-to-date records.
Finally, ensure that you sign and date the form as the DEA Registrant to certify its accuracy before distribution.

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