Form dhhs 226 d 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the Point of Contact Name and Telephone. Ensure all entries are printed or typed clearly.
3. Fill in the Name of Applicant (Facility Name) along with the Mailing Address, Location, Town, County, State, and Zip Code.
4. Select your Registration Classification by checking one box under Business Activity. Choose from Manufacturer, Distributor, Researcher, Analytical Laboratory, or Dog Handler.
5. Indicate applicable Drug Schedules by checking all relevant boxes for your selected business activity.
6. Answer the mandatory questions regarding authorization and any previous registration issues. Attach additional documentation if necessary.
7. Complete the Authorized Individual section by providing a name, signature, official title, and date.

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