Controlled Substance Templates

This form is used for EMS agencies in New York to record and report their semi-annual inventory of controlled substances.

This form is used for reporting the loss of controlled substances in the state of New York. It is important for healthcare providers and facilities to report any losses to ensure public safety and accountability.

This form is used for filing a juvenile petition in North Carolina in cases involving the sale or delivery of a controlled substance by a minor.

This document is used for filing a juvenile petition for the possession of Schedule II, III, and IV controlled substances in North Carolina.

This Form is used for obtaining informed consent for initial opiate prescriptions in Washington state.

This form is used for applying for registration under the Narcotic Addict Treatment Act of 1974.

This form is used to document the conditions set by physicians and pharmacies in the state of Maine.

This form is used for controlling substance and alcohol testing for commercial motor vehicles in Oklahoma. It serves as a memorandum and certificate of receipt.

This document provides information about the Drug Enforcement Administration (DEA), its mission, and its responsibilities in combating drug trafficking and abuse in the United States. It also highlights key statistics and facts related to the DEA's work.

This Form is used for petitioning to seal a conviction for possession of a controlled substance or counterfeit substance in Arkansas under Act 1460 of 2013.

This document is used for keeping track and documenting the usage of controlled substances in the state of Alabama.

This document is used for applying for a controlled substance permit in Alabama.

This document is used to report the theft or loss of controlled substances to the Drug Enforcement Administration (DEA). It helps authorities track and investigate incidents involving these substances.

This form is used for court notification of prohibiting offense for unlawful users of controlled substances in Pennsylvania.

This Form is used for recording the destruction of controlled substances by registrants in accordance with DEA regulations.

This Form is used for applying for a Narcotic Treatment Program for controlled substances in the state of South Carolina.

This document is used for requesting a change of the Pharmacist in Charge (PIC) in South Dakota.

This form is used by agencies in Alabama to request naloxone, a medication that can reverse opioid overdoses.

This document is a checklist used for creating a Controlled Substance Plan in the state of Alabama. It provides guidance and requirements on how to ensure the proper handling, storage, and distribution of controlled substances according to state regulations.

This type of document is used by physicians in Nevada to apply for authority to dispense drugs.

This form is used for keeping track of the inventory of drugs in Virginia.

This Form is used for keeping track of medications dispensed by pharmacies in the state of Washington.

This Form is used for applying for a registration to handle and distribute drugs or other controlled substances in Washington state.

This form is used for documenting controlled substances training for examiners in Virginia.

This Form is used for controlled substances training for Forensic Laboratory Specialists in Virginia.

This Form is used for conducting controlled substances color tests and thin layer chromatography (TLC) analysis in the state of Virginia.

This form is used for completing the Pharmaceutical Identifiers Worksheet in the state of Virginia for the purpose of regulatory compliance.

This type of document, DFS Form 221-F110 Controlled Substances Reagent Qa Check Log, is used for recording and tracking quality assurance checks for controlled substances reagent in Virginia.

This Form is used for recording the entry of controlled substances training samples in Virginia.

This form is used for recording information about controlled substances in Virginia.

This Form is used for tracking controlled substances drugs in Virginia.

This form is used for logging controlled substances prescriptions according to the standards set by the state of Virginia.