| Controlled
Substances |
 |
Laboratory
Animal Services Home Cage

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Our Offices |
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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
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