Office of Diversion Control, US Department of Justice, Drug Enforcement Administration

REGISTRATION > Applications, Tools & Resources > DEA Form 510 - New Application for Registration

DEA Form 510 - New Application for Registration

INSTRUCTIONS

This form is for new applicants. Any person who does not currently possess a DEA registration to conduct business with controlled substances as a Chemical Registrant may access the application form and can apply using this form.

Download DEA Form 510 (PDF)

SECTION 1. APPLICANT IDENTIFICATION

Information must be typed or printed in the blocks provided to help reduce data entry errors. A physicial address is required in address line 1; a post office box or continuation of address may be entered in address line 2. Fee exempt applicant must list the address of the fee exempt institution. The email address and point of contract are new data items to facilitate communication that are in the process of OMB approval and will soon be mandatory. Applicant must enter a valid tax identification number (TIN). Debt collection information is mandatory pursuant to the Debt Collection Improvement Act of 1996.

SECTION 2. BUSINESS ACTIVITY

Indicate only one business activity on this application. Each type of business activity requires a separate application. If you are registered with DEA to manufacture, import, export, or distribute/dispense controlled substances, you do not have to register for the same activities with drug products that contain List 1 chemicals.

  • You are required to register as a "manufacturer" if you manufacture a List 1 chemical and then distribute it. You do not have to register if you manufacture a List 1 chemical for internal consumption with no subsequent distribution of it.
  • Registration as an importer conveys distribution privileges only for those List 1 chemicals imported.

SECTION 3. SCHEDULES

Applicants is registering for l List 1 chemicals on this application. However, applicants must still comply with state requirements; federal registration does not overrule state restrictions.

3B. MANUFACTURER ONLY

Mark the appropriate box to indicate if you are manufacturing List 1 chemicals in bulk or dosage form.

3C. CHEMICAL CODES

Applicant must check all List 1 chemicals to be handled and indicate if the chemical is in bulk or dosage form.

Check all chemical codes you handle, and mark if it is bulk or dosage form. For more information, see 21 CFR 1308 or call 1-800-882-9539

List 1 Chemical Name Code Bulk? Dosage?
  3,4-Methylenedioxyphenyl-2-Propanone 9809    
  Anthranilic Acid 8530    
  Benzaldehyde 8256    
  Benzyl Cyanide 8735    
  Ephedrine 8113    
  Ergonovine 8675    
  Ergotamine 8676    
  Ethylamine 8678    
  Gamma Butyrolactone (GBL) 2011    
  Hydriodic Acid 6695    
  Hypophosphorous Acid and Salts 6797    
  Isosafrole 8704    
  Methylamine 8520    
  N-Acetylanthranilic Acid 8522    
  N-Methylephedrine 8115    
  N-Methylpseudoephedrine 8119    
  Nitroethane 6724    
  Norpseudoephedrine 8317    
  Phenylacetic Acid 8791    
  Phenylpropanolamine 1225    
  Piperidine 2704    
  Piperonal 8750    
  Propionic Anhydride 8328    
  Pseudoephedrine 8112    
  Red Phosphorus 6795    
  Safrole 8323    
  White Phosphorus 6796    

SECTION 4. STATE LICENSE(S)

Federal registration by DEA is based upon the applicant 's compliance with applicable state and local laws. Applicants should contact the local state licensing authority prior to completing this application.

If your state requires a license, provide that information and attach a copy to this application. IF YOUR STATE DOES NOT REQUIRE A LICENSE, MARK AN 'X' IN THE BOX TO INDICATE IT IS NOT REQUIRED BY YOUR STATE.

SECTION 5. LIABILITY

Applicants must answer all four questions for the application to be accepted for processing. If you answered "Yes" to any question, provide an explanation in the space provided. If you answer "Yes" to several of the questions, then you must provide a separated explanation describing the location, nature, and result of incident for each "Yes" answer. If additional space is required, you must attach a separate page.

SECTION 6. EXEMPTION FROM APPLICATION FEE

Exemption from payment of application fee is limited to federal, state or local government official or institution. The applicant's superior agency or officer must certify exempt status. The signature, authority title, and telephone number of the certifying official (other than the applicant) must be provided. The address of the fee exempt institution must appear in Section 1.

SECTION 7. METHOD OF PAYMENT

Indicate the desired method of payment. Make checks payable to "Drug Enforcement Administration". Third-party checks or checks drawn on foreign banks will not be accepted. FEES ARE NON-REFUNDABLE.

SECTION 8. APPLICANT SIGNATURE

Applicants MUST sign in this section or the application will be returned. Card holder signature in section 7 does not fulfill this requirement.

NOTICE TO REGISTRANTS PAYING BY CHECK

Authorization to Convert Your Check:

Checks will be converted via electronic fund transfer (EFT). EFT is the term used to refer to the process where we electronically instruct your financial institution to transfer funds from your account to our account, rather than processing your check. By sending a completed, signed check, you authorize us to copy your check and to use the account information from your check to make an EFT from your account for the same amount on the check. If the EFT cannot be completed for technical reasons, you authorize us to process the copy of your check.

Insufficient Funds:

The EFT from your account will usually occur within 24 hours, which is faster than a check is normally processed. Therefore, make sure there are sufficient funds available in your checking account when you send us your check. If the EFT cannot be completed because of insufficient funds, we may try to make the transfer up to two times.

Transaction Information:

The EFT from your account will be on the account statement you receive from your financial institution. However, the transfer may be in a different place on your statement than the place where your checks normally appear. For example, it may appear under "Other Withdrawals" or "Other Transactions". You will not receive your original check back from your financial institution. For security reasons, we will destroy your original check, but we will keep a scanned copy of the check for record-keeping purposes.

Your Rights:

You should contact your financial institution immediately if you believe that the EFT reported on your account statement was not properly authorized or is otherwise incorrect. Consumers have protections under Federal law called the Electronic Fund Transfer Act for an unauthorized or incorrect electronic fund transfer.

ADDITIONAL INFORMATION

  1. No registration will be issued unless a completed application form has been received (21 CFR 1301.13).
  2. In accordance with the Paperwork Reduction Act of 1995, no person is required to respond to a collection of information unless it displays a valid OMB control number. The OMB number for this collection is 1117-0015. Public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the information.
  3. The Debt Collection Improvements Act of 1996 (PL 104-134) requires that you furnish your Taxpayer Identification Number and/or Social Security Number on this application. This number is required for debt collection procedures if your fee is not collectible.
  4. PRIVACY ACT INFORMATION

    AUTHORITY: Section 302 and 303 of the Controlled Substances Act of 1970 (PL 91-513) and Debt Collection Improvements Act of 1996 (PL 104-134) for SSN and/or TIN

    PURPOSE: To obtain information required to register applicants pursuant to the Controlled Substances Act of 1970

    ROUTINE USES: The Controlled Substances Act registration system produces special reports as required for statistical analytical purposes. Disclosures of information from this system are made to the following:
    1. Other federal law enforcement and regulatory agencies for law enforcement and regulatory purposes
    2. State and local law enforcement and regulatory agencies for law enforcement and regulatory purposes
    3. Persons registered under the Controlled Substances Act (PL 91-513) for the purpose of verifying registration
    EFFECT: Failure to complete form will preclude processing of the application

CONTACT INFORMATION

INTERNET: Information can be found on our website at www.deadiversion.usdoj.gov

TELEPHONE: Headquarters Call Center: (800) 882-9539

WRITTEN INQUIRIES: Drug Enforcement Administration, Registration Section/ODR, P.O. Box 2639, Springfield, VA 22152-2639

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U.S. DEPARTMENT OF JUSTICE  •  DRUG ENFORCEMENT ADMINISTRATION
Office of Diversion Control  •  8701 Morrissette Drive  •  Springfield, VA 22152  •  1-800-882-9539