All necessary forms for the State of Indiana, Drug Enforcement Administration (DEA), and Office of Research Integrity can be found in this archive. The resources section should be reviewed prior to filling out any forms to determine which forms the researcher should fill out and what information is necessary to include in each form.
State of Indiana:
Non-Practioner Controlled Substance Registration Application
Practioner Controlled Substance Registration Application
Drug Enforcement Administration:
DEA Form 224 (Practioner Registration)
DEA Form 225 (Non-Practioner Registration)
DEA Form 41 (Registrants Inventory of Drugs Surrendered Form) DEA Form 106 (Report of Theft or Loss of Controlled Substance) DEA Form 222 (Controlled Substance Ordering Form) NOTE: DEA Form 222's must be ordered directly from the DEA.
Office of Research Integrity:
ORI Controlled Substance Administered- Dispensed Form
ORI Controlled Substance Authorized Users List Form
ORI Controlled Substance Cabinet Access/ Key Control List Form
ORI Controlled Substance Destruction Record Form
ORI Controlled Substance Physical Inventory Form
ORI Controlled Substance Purchase Record Form
ORI Controlled Substance Record of DEA Form 222 Use Form
ORI Controlled Substance Registration Protocol Summary Form