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

DEA FORM 236

Controlled Substances Import/Export Declaration

Download DEA Form 236 (PDF)

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INSTRUCTIONS FOR COMPLETING DEA FORM 236

This form is to be used in notifying DEA of all Imports or Exports as required by Title III, PL91-513, Sections 1002 and 1003, as amended (Controlled Substances Import and Export Act, 21 U.S.C. 952 and 953). This form may be prepared and signed by the actual Importer or Exporter or by the Broker or Forwarding Agent used. The following instructions supplement the parts of the DEA-236 which are not completely self-explanatory.

Section 1. “IMPORTER” is the authorized DEA registrant who receives the controlled substance; “EXPORTER” is the authorized DEA registrant who ships the controlled substance.
Section 2. Examples of typical entries in 2a: 2b:
Trade or Controlled Substance Name
50 Bottles
100 Tablets/Bottle
MG/15 Tablet
CSA Drug Code: XXXX
NDC Number: XXXX-XXXX-XX
Controlled Substance Name
50 bottles X 100 tablets/bottle X
15 mg/tablet = 75,000 mg/1,000 = 75 gm
Trade or Controlled Substance Name
600 Packages
2 Vials/Package
5 ML/Vial
2 MG/ML
CSA Drug Code: XXXX
NDC Number: XXXX-XXXX-XX
Controlled Substance Name
600 packages X 2 vials/package X
5 ml/vial X 2 mg/ml = 12,000 mg/1,000 = 12 gm
The DEA registrant should check the Schedules I - V Controlled Substance Conversion Factors to find the conversion factor of the controlled substance if it contains a salt (ex. HCL, sulfate, tartrate).
  2c. Return Information: For imports, the DEA registrant must provide the date and weight (base) of the controlled substance that arrived at their registered location. For exports, the DEA registrant must provide the date and weight (base) of the controlled substance that departed from their registered location. If available, the DEA registrant must provide the date and weight (base) of the controlled substance released by U.S. Customs and Border Protection (CBP).
Section 3. If this form is prepared as a Controlled Substance Import Declaration, list the foreign port of export (port name, city, country) from where the shipment departs the country of export and the anticipated date it will depart in section 3a. In section 3b., list the U.S. port of import (port name, city, state) and the anticipated date it will arrive.

If this form is prepared as a Controlled Substance Export Declaration, list the U.S. port of export (port name, city, state) from where the shipment departs the United States and the anticipated date it will depart in section 3a. In section 3b., list the foreign port of import (port name, city, country) and the anticipated date it will arrive.
Section 4. Insert name of vessel or airline and flight number, together with all intermediate carriers. Furnish all information concerning the transportation of the goods known at the time of preparing the DEA Form 236.
Section 5. If this form is prepared as a Controlled Substance Import Declaration, enter the name and address of the foreign consignor. If this form is prepared as a Controlled Substance Export Declaration, enter the name and address of the foreign consignee, the foreign import permit number and its date of issue and expiration. Provide a document reference number for both types of declarations.

INSTRUCTIONS FOR DISTRIBUTING DEA FORM 236

If this form is prepared as a Controlled Substance Import Declaration, distribute as follows:

The importer must provide an official record of the declaration to the consignor who must submit the official record to the Competent National Authority of the exporting country, if required as a prerequisite for an export authorization. The importer must ensure the official record of the declaration accompanies the shipment to the registered location of the importer. The importer, or their agent, must submit the required data concerning the official record of the declaration to the U.S. Customs and Border Protection (CBP) as part of the CBP import filing through the Automated Commercial Environment (ACE), or any successor system. The importer must maintain an official record of the declaration in accordance with 21 CFR § 1304.

If this form is prepared as a Controlled Substance Export Declaration, distribute as follows:

The exporter must ensure the official record of the declaration accompanies the shipment to its destination. The exporter, or their agent, must submit the required data concerning the official record of the declaration to the U.S. Customs and Border Protection (CBP) as part of the CBP export filing through the Automated Commercial Environment (ACE), or any successor system. The exporter must maintain an official record of the declaration in accordance with 21 CFR § 1304.

PRIVACY ACT INFORMATION

AUTHORITY: Sections 1002 and 1003 of the Controlled Substances Act of 1970 (PL91-513), as amended (21 U.S.C. 952 and 953).

PURPOSE: To obtain information regarding the importation of nonnarcotic substances in Schedules III, IV, and V and the exportation of nonnarcotic substances in Schedules III and IV and all substances in Schedule V.

ROUTINE USES: The Controlled Substances Import/Export Declaration produces special reports as required for statistical and law enforcement purposes. Disclosure of information from this system is made to the following categories of users for the purposes stated.

A. Other Federal law enforcement and regulatory agencies for law enforcement purposes.

B. State and local law enforcement and regulatory agencies for law enforcement and regulatory purposes.

EFFECT: Failure to complete this form will preclude requested importation or exportation of the referenced controlled substances.

Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Public reporting burden for this collection of information is estimated to average 18 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Drug Enforcement Administration, FOI and Records Management Section, 8701 Morrissette Drive, Springfield, VA 22152; and to the Office of Management and Budget, Paperwork Reduction Project No. 1117-0009, Washington, D.C. 20503.

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

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