Controlled Substances

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Forms for Controlled Substances record keeping are available for your use.

Name of form Use
Registrant Information Form Record information for the Registrant (unit or person holding the state and federal permits)
Authorized Site Information Form Record information for each Authorized Site using the Registrant's registration form
Drugs Received Form Registrant  records all incoming drugs for all authorized sites on one form 
Drug Inventory Form One form for each Authorized Site
Controlled Substance Log Form One form for each container of drug
DEA Form 222 application Preprinted triplicate prescription forms required when ordering Class I and Class II drugs.
DEA Form 41  Destruction of Controlled Substances (note: see website instructions. Instructions on the form are incorrect.)
NJ CDS Form DDC-25 (Rev 4/01) The application for a state Controlled Dangerous Substance (CDS) "Researcher" registration is not available on line.  The NJ CDS office can be reached at 973 504-6359 but they will ask you to fax a request for an application package to FAX 973 504-6326.  In addition to the triplicate DDC-25, you will be sent 9 additional forms and a book of regulations. LAS has forms available in our office.

Laboratory Animal Services maintains a supply of blank state and federal application forms.  NJ CDS applications are not available online.

Federal DEA registration forms are available on line at http://www.deadiversion.usdoj.gov/drugreg/reg_apps/index.html . New applicants can complete and submit a DEA Form 225 on line, fill out a form on screen for printing, or print a blank PDF form for printing.

As state employees, registrants are entitled to a waiver of the annual $130 fee for federal registration.  This requires a signature attesting that the registrant is a state employee.  





 

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Contact email: rlharris@rci.rutgers.edu
10/5/05