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

Narcotic Treatment Programs Best Practice Guideline

APPENDIX B

FORMS

Renewal Application (DEA Form 363a):

DEA Form-363a, Renewal Application for DEA Registration - Page 1

To obtain a copy of the form, click on the image above to locate a Diversion Field Office nearest you.


Back of Form:

DEA Form-363a, Renewal Application for DEA Registration - Page 2

To obtain a copy of the form, click on the image above to locate a Diversion Field Office nearest you.

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