How To Fill Out Dea 222 Form

Where Do You Mail Dea 222 Forms Fill Online, Printable, Fillable

How To Fill Out Dea 222 Form. Web order form request (dea form 222) ← online only. The copy retained by the purchaser may be in paper or electronic form.

Where Do You Mail Dea 222 Forms Fill Online, Printable, Fillable
Where Do You Mail Dea 222 Forms Fill Online, Printable, Fillable

4836 southridge blvd.memphis, tennessee 38141 mail your completed 222 form to: What should you do if you misplace your dea form 222? ( a ) a purchaser must make a copy of the original dea form 222 for its records and then submit the original to the supplier. The statement must indicate that the goods covered by the first dea form 222 were not received due to the loss or stolen form. Web complete the supplier section of your 222 form with information below: Web order form request (dea form 222) ← online only. 6651 gate parkway • jacksonville fl 32256 attn: Upon receipt of the controlled substances, complete part 5 with the date and amount received. If a dea form 222 is lost or stolen, the registrant must execute another dea form 222 and attach a statement to the new form containing the order form number and date of the lost or stolen form. Web 8.9k views 2 years ago.

The copy retained by the purchaser may be in paper or electronic form. Instructions for filling out the new dea 222 form for pharmacy returns to the wholesaler of cii c2 controlled drug medications. Web 8.9k views 2 years ago. ( a ) a purchaser must make a copy of the original dea form 222 for its records and then submit the original to the supplier. Upon receipt of the controlled substances, complete part 5 with the date and amount received. Web part 1 “signature of requesting official” line must have the name printed and person’s title. Controlled substance helpdesk (mailstop 122) Request official order forms ( schedule i & ii registrants only) csos (controlled substance ordering system) ← online only. What should you do if you misplace your dea form 222? Web order form request (dea form 222) ← online only. Allows electronic orders of controlled substances.