NTP Best Practice Guideline

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Publications > Manuals > NTP Best Practice Guideline > Recordkeeping > Reporting Theft and Loss of Controlled Substance Medication > DEA Form-106

Recordkeeping

DEA Form-106 (Report of Theft or Loss of Controlled Substances)

The NTP must complete a DEA Form-106 to formally document the actual circumstances of a theft or significant loss and the quantities of controlled substances involved. [21 CFR 1301.74(c)]. However, in many cases, determining the actual circumstances may require some evaluation, review, and possible investigation. Issues and procedures related to the determination of whether and how to use DEA Form-106 include the following:

If, after reviewing all the available information, it is determined that no theft or significant loss occurred, no DEA Form-106 need be filed. However, the NTP should notify DEA of the results of the investigation and maintain a record of the occurrence in its loss and theft file for future reference.
If there is a question as to whether a theft or a significant loss has occurred, the NTP should contact the local DEA diversion field office.
An NTP should not use a DEA Form-106 to adjust inventory.

An NTP should contact the local DEA diversion field office to obtain a DEA Form-106. A completed theft and loss form should include the following information:

Name and address of NTP;

DEA registration number;

Date of theft;

Local police department notified;

Type of theft (night break in, armed robbery, etc.);

Listing of symbols or other identifying markings (if any) used by NTP to mark containers; and

Listing of controlled substances missing from theft or significant loss (name, quantity, and strength).

An NTP is required to prepare the form in triplicate, keep the third copy for its records, and send the first and second copies to the local DEA diversion field office.

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