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How to use or fill out DEA Form 106 with our platform
- Click ‘Get Form’ to open DEA Form 106 in the editor.
- Begin by selecting the type of report you are filing. Check either 'New Report' or 'Amendment' and provide the prior report date if applicable.
- Fill in your DEA Registration Number, business name, address, city, state, ZIP code, point of contact, email address, and phone number.
- Indicate the date of theft or loss and the number of thefts/losses in the past 24 months.
- Select your principal business type from options such as Pharmacy, Practitioner, Manufacturer, etc.
- If applicable, complete the section for loss in transit by providing details about the common carrier and tracking number.
- Answer questions regarding injuries during robbery and whether police were notified. Include police department details if applicable.
- List corrective measures taken to prevent future incidents and provide a detailed description of any other relevant information.
- Finally, sign and date the form electronically to certify that all information is accurate before submitting it.
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