How to use or fill out form dhhs 226 d with our platform
- Click ‘Get Form’ to open it in the editor.
- Begin by entering the Point of Contact Name and Telephone. Ensure all entries are printed or typed clearly.
- Fill in the Name of Applicant (Facility Name) along with the Mailing Address, Location, Town, County, State, and Zip Code.
- Select your Registration Classification by checking one box under Business Activity. Choose from Manufacturer, Distributor, Researcher, Analytical Laboratory, or Dog Handler.
- Indicate applicable Drug Schedules by checking all relevant boxes for your selected business activity.
- Answer the mandatory questions regarding authorization and any previous registration issues. Attach additional documentation if necessary.
- Complete the Authorized Individual section by providing a name, signature, official title, and date.
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