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Required Forms


  1. Applying for an Exemption? (PDF)
  2. Authorized Users Signature Log (PDF)
  3. Controlled Substances Registration Form (PDF)
    All U of M departments wishing to conduct research with controlled substances are required to register with the Department of Environmental Health and Safety. Follow this link for further instructions.
    4. (Microsoft Word)
  4. DEA Form 41 Registrants Inventory of Drugs Surrendered (PDF)
  5. DEA Form 41 Instructions
  6. DEA Form 225 Instructions (PDF)
    Contact Greg Casura at casur001@tc.umn.edu to get the DEA 225 form.
  7. DEA Registration Instruction Sheet (PDF)
  8. Large Animal Controlled Substances Form (PDF)
  9. MNBP Registration Instruction Sheet (PDF)
  10. Mid-Level Practitioners Addendum (PDF)
  11. Power of Attorney Transfer Form (HTML)
    Power of attorney may only be granted to another unit registrant according to U of M policy. Please record the Form 222 identifier numbers on the forms transferred on your Form 222 log.
    12.
  12. Minnesota Board of Pharmacy Applications for Researchers (PDF)
  13. Report of Theft or Loss of Controlled Substances (PDF)
  14. Research Controlled Substance Inventory (PDF)
  15. Research Controlled Substance Disposition Record (PDF)
  16. Schedule I (HTML)
  17. Schedule II (HTML)
  18. Security Control Questionnaire (HTML)
  19. Small Animal Use Record (Single Drug) (PDF)
  20. Small Animal Use Record (Combination Drug) (PDF)
    21.

     
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The University of Minnesota is an equal opportunity educator and employer.  Last modified: October 21, 04