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

Narcotic Treatment Programs Best Practice Guideline

APPENDIX B

FORMS

Registrants Inventory of Drugs Surrendered (DEA Form-41):

DEA Form-41, Registrants Inventory of Drugs Surrendered - 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-41, Registrants Inventory of Drugs Surrendered - 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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