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Click ‘Get Form’ to open the doh 3848 form in the editor.
Begin by entering the reporting period at the top of the form, specifying either January 1 - June 30 or July 1 - December 31, along with the corresponding year.
Fill in your agency name and NYS-EMS ID No. in the designated fields, followed by your agency's address, city, state, and zip code.
Provide the name of the DEA registrant and their DEA license number. This information is crucial for compliance.
List each controlled substance used during the reporting period. For each substance, complete fields for dosage form (mg/unit), total quantity received from DEA registrant, total quantity administered & wasted, total quantity lost, and total quantity accounted from records.
Conduct a physical inventory count of stock and substocks and record it in the appropriate section.
Certify your report by printing your name as an agent, signing it, and including the date. Repeat this for the CEO’s information.

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Versions	Form popularity	Fillable & printable
2015	4.8 Satisfied (175 Votes)
2013	4 Satisfied (28 Votes)

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