Dea 106 Form Pdf - Complete the front and back of this form in triplicate. You are reporting the theft or loss of a controlled substance. Report of theft or loss. You are registered with the dea, or; Failure to report theft or loss of controlled substances may result in penalties under section 402 and 403 of the controlled substances act. Drug enforcement administration of controlled substances. Federal regulations require registrants to submit a detailed report of any theft or loss of controlled substances to the drug enforcement administration. (check one box only) new report amendment key (prior report dated): Report of theft or loss of controlled substances. Web dea diversion control division
Do not use this form to correct minor inventory shortages. Complete the front and back of this form in triplicate. You are reporting the theft or loss of a controlled substance. You are registered with the dea, or; Failure to report theft or loss of controlled substances may result in penalties under section 402 and 403 of the controlled substances act. Report of theft or loss of controlled substances. Report of theft or loss. Federal regulations require registrants to submit a detailed report of any theft or loss of controlled substances to the drug enforcement administration. Web dea diversion control division Drug enforcement administration of controlled substances. (check one box only) new report amendment key (prior report dated):