Practitioner's Manual
APPENDIX H – DEA FORMS
The following pages provide samples of several forms frequently encountered by DEA registrants. Included are:
DEA Form 41 Registrants Inventory of Drugs Surrendered
DEA Form 106 Report of Theft or Loss of Controlled Substances
DEA Form 222 U.S. Official Order Form for Controlled Substances
DEA Form 224 Application for Registration
DEA Form 224a Renewal Application for DEA Registration
DEA Form 363 Application for Registration as a Narcotic Treatment Program
DEA Form 363a Renewal Application for DEA Registration as a Narcotic Treatment Program
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