Form DEA Form 106 DEA Form 106 Report of Theft and Loss of Controlled Substances

Report of Theft or Loss or Disappearance of Controlled Substances and Listed Chemicals

TLR Online User Manual 1.0

Report of Theft or Loss of Controlled Substances and Listed Chemicals - DEA Form 106 and DEA Form 107

OMB: 1117-0001

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Drug Enforcement Administration

Theft/Loss Reporting System (TLR)
User Manual
Version 1.0
June 18, 2019

User Manual, Version 1.0

June 18, 2019

Signature Page
Document Name:

Theft/Loss Reporting System
User Manual

Publication Date: Month 00, 0000

Prepared by: Allen W. Rotz, ASRC Federal Mission Services

System Owner:
Anna Pacula, Section Chief
Diversion IT Section
Office of Information Systems

Date

Yesica Mejia, Unit Chief
Diversion IT Section
Office of Information Systems

Date

Charlotte D. Barron, Chief
Regulatory Section
Office of Diversion Control Regulatory

Date

Concurrence:

Program Manager:

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Preface
It is the reader’s responsibility to ensure they have the latest version of this document. Questions
should be directed to the owner of this document or the project manager.
This document was developed by the Office of Information Systems, Diversion IT Section.

Approval
Approval of this document is contingent upon the review of and signatures by the project and
program managers and by specified members of SID.

System Owner
Anna Pacula , Section Chief

Diversion IT Section
Office of Information Systems
(202) 307-3821
[email protected]

Privacy Information
Unlimited Distribution
Copies may be made without contacting the owner of the document.

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Table of Contents
1.0
2.0
3.0
4.0

5.0

6.0

7.0

8.0

Introduction.................................................................................................................................................... 1
1.1 TLR User Registrations................................................................................................................ 1
1.2 Application Structure ................................................................................................................... 2
Login, Authentication, and Report Selection........................................................................................ 3
2.1 Login .................................................................................................................................................. 3
Theft/Loss Report Details.......................................................................................................................... 7
Registrant-Specific Details Entry Screens...........................................................................................13
4.1 224 Registrants ............................................................................................................................13
4.2 225 Registrants ............................................................................................................................15
4.3 363 Registrants ............................................................................................................................16
4.4 510 Registrant ..............................................................................................................................17
4.5 CMEA Only Registrant ................................................................................................................18
4.6 List II Chemical Reporter...........................................................................................................18
Report Details Entry ..................................................................................................................................19
5.1 Add Chemical Entry ....................................................................................................................19
5.2 Add NDC Chemical Entry...........................................................................................................22
5.3 Add NDC Drug Entry...................................................................................................................25
5.4 Add Disposal Container Entry .................................................................................................27
5.5 NDC Lookup...................................................................................................................................29
Report Finalization.....................................................................................................................................31
6.1 Report Summary..........................................................................................................................31
6.2 Signature.........................................................................................................................................32
6.3 Report Displays ............................................................................................................................33
Amending, Printing, or Withdrawing a Report .................................................................................34
7.1 Edit/Amend a Report .................................................................................................................36
7.1.1 Edit/Amend Theft/Loss Report Details. ............................................................38
7.1.2 Edit/Amend the Details of a Theft or Loss of a Chemical, a Drug,
or a Disposal Container ...........................................................................................39
7.1.2.1
Edit a Chemical .......................................................................................................... 40
7.1.2.2

Edit a Controlled Substance................................................................................... 41

7.1.2.3

Edit a Disposal Container ....................................................................................... 41

7.1.2.4

Delete/Undelete a Chemical .................................................................................. 42

7.1.2.5

Delete/Undelete a Controlled Substance .......................................................... 43

7.1.2.6

Delete/Undelete a Disposal Container ............................................................... 44

7.2 Print a Report................................................................................................................................45
7.3 Withdraw/Unwithdraw a Report ...........................................................................................46
Requesting a Class II Chemicals Only Reporter Number ...............................................................48
8.1 List II Chemicals Only Reporter Information......................................................................48
8.2 Review Information, Complete CAPTCHA ...........................................................................49
8.3 List II Only Reporter Number Request Completion..........................................................50
8.4 Confirmation Email .....................................................................................................................51
8.5 Registration Confirmation ........................................................................................................52

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1.0 Introduction
The Theft or Loss Reporting (TLR) online application is used by List II Chemical Reporters and DEA
Registrants to report the theft or loss of chemicals, controlled substances, and or disposal
containers to DEA. DEA Form 106 is used to report the theft or loss of controlled substances and
disposal containers. DEA Form 107 is used to report the theft or loss of chemicals. Also, an existing
report can be amended, printed, or withdrawn using this application.
TLR is an interactive application that checks for incorrectly formatted data input and provides pop up instructions as needed at each step. The application will display screens that are appropriate for
each specific registration.
The TLR application is accessed via the internet. Section 2.0 below explains how to log in.

1.1 TLR User Registrations
There are six different types of registrations of those who can use the TLR application, and there
are differences within three of these. Some can report the theft or loss of a Schedule 1-5 Drug on a
DEA Form 106, some can report the theft or loss of Type I or Type II Chemicals on a DEA Form 107,
and some can report both. Additionally, some have a Drug Disposal Container and can report its
theft or loss.
If there is a loss or theft of a Schedule 1-5 Drug, a Type II Chemical, or a Drug Disposal Container, it
is mandatory that it be reported to DEA by the respective entity.
DEA Form

106

107
Reporting Theft or Loss of

Schedule 1-5
Registration Disposal
Containers Drug NDCs

Ephedrine
NDCs

List II
List I
Chemicals Chemicals

X
224

225
363

X

X

X

X

X

X

X

X

X

X

X

X

X
X

510

X
X

List II

X
X

CMEA

X

Table 1 - Registrations and Reporting

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1.2 Application Structure
The TLR is divided into successive sections in the task of making, amending, or printing a report.
•

Section 2.0 The login screen, the login confirmation screen, and a screen to start a
New Theft/Loss Report or Amend or Print Existing Theft/Loss Reports.

•

Section 3.0 The entry of the theft/loss details.

•

Section 4.0 The registrant-specific main pages.

•

Section 5.0 The entry of the chemical, drug, and/or disposal container details.

•

Section 6.0 Report finalization.

•

Section 7.0 Amending, printing, or withdrawing a report.

•

Section 8.0 Requesting a Class II Chemicals Only Reporter Number.

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2.0 Login, Authentication, and Report Selection
2.1 Login
If you do not have the TLR URL bookmarked, go to the Diversion Control Division homepage at
https://www.deadiversion.usdoj.gov.
1. At the top of this screen, click on the Reporting tab.
2. Click on the Theft/Loss Reporting heading.
3. Click on the Theft/Loss Reporting Online (TLR) link.
4. The Login Screen will display with general instructions as shown below.

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Figure 1 - Login Screen

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The Login Confirmation Screen (above) will display instructions specific to your registration.
We strongly suggest that you read these instructions to lessen any problems in using this
application.
When you are ready, click on the Next button. The screen below will display.

Figure 3 - Start a new Report or amend or print an existing Report

If you click on the New Theft/Loss Report button, you will first need to enter details of what
happened. This is explained in Section 3.0 Theft/Loss Report Details.
If you click on the Amend or Print Existing Theft/Loss Reports button, Figure 42 in Section 7.0
on page 34 will display.
Note: If you wish to withdraw a report, click on the Amend or Print Existing Theft/Loss
Reports button.

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3.0 Theft/Loss Report Details

Figure 4 - Report Details Blank Screen

Click on the dropdown button for the Type of theft/loss to display the possible types of theft or
loss. See the screen below. Click on the appropriate type.

Figure 5 - Theft/Loss Type Dropdown

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Figure 6 – Police Report Details

Enter the “Number of Thefts and Losses in the past 24 months.”
If you filed a Police Report, click on Yes, and additional fields will display as shown above.
•

Except for Robbery or Loss in Transit, complete the form shown in either Figure 4 or
Figure 6, and then click on Next.

•

If you select Robbery, the Report Details Screen will display with two additional questions
as shown in Figure 7 below.

•

If you select Loss in Transit, the Report Details Screen will display as shown in Figure 9
below.

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Figure 7- Robbery Report Details

Selecting Yes on radio buttons will open fields for required data entry in the screen below.

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Figure 8 - Expanded Robbery Report Details

Enter the details of the robbery, and then click on the Next button.
Go to Section 4.0 Registrant-Specific Details Entry Screens page 13 to find the next screen that
will display for your registration.

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Figure 9 - Loss in Transit Report Details

Click on Yes radio buttons to open fields for required data entry (below).

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Figure 10 - Expanded Loss in Transit Report Details

Complete the fields in the form above, and click on the Next button.
Go to Section 4.0 Registrant-Specific Details Entry Screens page 13, to find the next screen that
will display for your registration.
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4.0 Registrant-Specific Details Entry Screens
After completing a Report Details form and clicking on the Next button in Section 3.0, the screen
that displays depends on your registration. Only those buttons applicable for your registration will
display.
•

For DEA Form 224, Registrants go to Section 4.1

•

For DEA Form 225, Registrants go to Section 4.2

•

For DEA Form 363, Registrants go to Section 4.3

•

For DEA Form 510, Registrants go to Section 4.4

•

For CMEA Only, Registrants go to Section 4.5

•

For List II Chemical, Reporters go to Section 4.6

4.1 224 Registrants
After completing the Report Details section, a 224 Registrant will see one of the screens below
depending on the specific registration.
•

A 224 Registrant that does not have a CMEA Registration will see the screen below.

Figure 11 - Details Entry Screen for 224 Registrant without CMEA Registration or a Disposal Container

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A 224 Registrant that has a CMEA Registration and a Disposal Container will see the screen
below.

Figure 12 – Details Entry Screen for a 224 Registrant with a CMEA Registration and a Disposal Container.

•

A 224 Registrant that has a CMEA Registration, but no Disposal Container authorization,
will see a screen like Figure 12 but without the Add Disposal Container Entry button.

Clicking on each of the following buttons will display the screen in the associated section:
o

The Add NDC Chemical Entry button will display Figure 25 in Section 5.2 on page 22.

o

The Add NDC Drug Entry button will display Figure 29 in Section 5.3 on page 25.

o

The Add Disposal Container Entry button will display Figure 32 in Section 5.4 on
page 27.

o

The NDC Lookup button will display Figure 36 in Section 5.5 on page 29.

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4.2 225 Registrants
After completing the Report Details section:
•

A 225 Registrant without a Disposal Container authorization will see a screen like the one
below.

Figure 13 – Details Entry Screen for a 225 Registrant without a Disposal Container

•

A 225 Registrant with a Disposal Container will see a screen like the one below.

Figure 14 –Details Entry Screen for a 225 Registrant with a Disposal Container

o

The Add Chemical button will display Figure 19 in Section 5.1 on page19.

o

The Add NDC Chemical Entry button will display Figure 25 in Section 5.2 on page22.

o

The Add NDC Drug Entry button will display Figure 29 in Section 5.3 on page 25.

o

The Add Disposal Container button will display Figure 32 in Section 5.4 on page 27.

o

The NDC Lookup button will display Figure 36 in Section 5.5 on page 29.

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4.3 363 Registrants
After completing the Report Details section:
•

A 363 Registrant without a Disposal Container will see a screen like the one below.

Figure 15 – Details Entry Screen for a 363 Registrant without a Disposal Container

•

A 363 Registrant with a Disposal Container will see a screen like Figure 15 but with the
Add Disposal Container Entry button as shown in Figure 14.
o

The Add NDC Drug Entry button will display Figure 29 in Section 5.3 on page 25.

o

The Add Disposal Container Entry button will display Figure 32 in Section 5.4 on
page 27.

o

The NDC Lookup button will display Figure 36 in Section 5.5 on page 29.

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4.4 510 Registrant
After completing the Report Details section, a 510 Registrant will see a screen like the one below.

Figure 16 – Details Entry Screen for a 510 Registrant

o

The Add Chemical Entry button will display Figure 19 in Section 5.1 on page 19.

o

The Add NDC Chemical Entry button will display Figure 25 in Section 5.2 on page 22.

o

The NDC Lookup button will display Figure 36 in Section 5.5 on page 29.

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4.5 CMEA Only Registrant
After completing the Report Details section, a CMEA Only Registrant will see a screen like the one
below.

Figure 17 – Details Entry Screen for a CMEA Only Registrant

o

The Add NDC Chemical Entry button will display Figure 25 in Section 5.2 on page 22.

o

The NDC Lookup button will display Figure 36 in Section 5.5 on page 29.

4.6 List II Chemical Reporter
After completing the Report Details section, a List II Chemicals Reporter will see a screen like the
one below.

Figure 18 – Details Entry Screen for a List II Chemical Reporter

o

The Add Chemical Entry button will display Figure 19 in Section 5.1 on page 19.

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5.0 Report Details Entry
Each section below will show what happens when you click on one of the buttons on your
registration-specific Details Entry Screen in Section 4.0.
Note: For simplicity, the upper part of your screen showing the Details Entry Screen buttons is not
displayed in this section. Only the lower part of the screen specific to the clicked button
displays here.

5.1 Add Chemical Entry
If you clicked on the Add Chemical Entry button, the screen below will display.

Figure 19 - Add Chemical Entry Screen

Click on the arrow for the top dropdown list to display, and then choose a chemical to report.

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Figure 20 – Chemicals sorted by Name

Note: Only the chemicals relevant to your registration will display.

Figure 21 - Chemicals sorted by Code

Click on the chemical you want to report.

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Figure 22 - Select Packaging

Click on the dropdown arrow for Package Form, and make a selection.

Figure 23 - Select Units

Click on the dropdown arrow for Units, make a selection, and then click on Save.

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Figure 24 – A Chemical Added to the Report

Note: As stated in Section 4.0, only those buttons applicable to your registration will display.
Here you should review the displayed information.
To add something more, click on the appropriate button. If nothing more need be added, deleted,
or edited, enter the Total Purchase Value, and click on the Next button. The Report Summary
will display Figure 39 in Section 6.1 on page 31.

5.2 Add NDC Chemical Entry
If you click on the Add NDC Chemical Entry button, the screen below will display.

Figure 25 - Add NDC Chemical Entry Screen

To add an NDC Chemical entry, enter the NDC Chemical Number, and click on Validate.

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Figure 26 - NDC Chemical Number Validated

Add the Total Quantity Lost or Stolen.

Figure 27 - Select the Units

Select the units, then click on Save.

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Figure 28 –An NDC Chemical Added to the Report

Note: As stated in Section 4.0, only those buttons applicable to your registration will display.
Here you should review the displayed information.
To add something more, click on the appropriate button. If nothing more need be added, deleted,
or edited, enter the Total Purchase Value, and click on the Next button. The Report Summary
will display Figure 39 in Section 6.1 on page 31.

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5.3 Add NDC Drug Entry
If you clicked on the Add NDC Drug Entry button, the screen below will display.

Figure 29 - Add NDC Drug Entry Screen

Enter the NDC Drug Number, and click on Validate.

Figure 30 – Validated NDC Drug Entry

Enter the Total Quantity, and click on Save.

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Figure 31 –An NDC Drug Entered to the Report

Note: As stated in Section 4.0, only those buttons applicable to your registration will display.
Here you should review the displayed information.
To add something more, click on the appropriate button. If nothing more need be added, deleted,
or edited, enter the Total Purchase Value, and click on the Next button. The Report Summary
will display Figure 39 in Section 6.1 on page 31.

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5.4 Add Disposal Container Entry
If you clicked on the Add Disposal Container Entry button, the screen below will display.

Figure 32 - Add Disposal Container Screen

Click on the Item Type dropdown.

Figure 33 - Select Disposal Container Type

Select the Disposal Container Type.
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Figure 34 - Add Disposal Container details.

Add Disposal Container ID #, Size of Inner Liner, and total Quantity. Click on Save.
Note: The Unique ID # is required. Size of Inner Liner is only required for an Inner Liner.

Figure 35 - A Disposal Container Entered to the Report

Note: If you are a Long-Term Care Facility, click the correct radio button.
Note: As stated in Section 4.0, only buttons applicable to your registration will display.
You should review the information displayed.
To add something more, click on the appropriate button. If nothing more need be added, deleted,
or edited, click on the Next button. The Report Summary will display Figure 39 in Section 6.1 on
page 31.
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5.5 NDC Lookup
If you clicked on the NDC Lookup button, the screen below will display.

Figure 36 – NDC Lookup Screen

Note: The NDC Number fields must be blank when searching using Text Filters. However, the
search results will show asterisks in the NDC Number fields.
Note: When searching using asterisks/wild cards or Text Filters, the search results will display
only the first 100 NDCs found in the NDC Dictionary. There may be other NDCs in the
dictionary that match the search criteria, but they do not display.

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Figure 37 –Results of a Drug NDC search

Figure 38 – Results of a Chemical NDC search

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6.0 Report Finalization
6.1 Report Summary

Figure 39 – Theft/Loss Report Summary

Note: This registrant is reporting a chemical, drug, and a disposal container. Depending on your
situation and registration, you might only have one or two of these.
Review the displayed information.
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7.0 Amending, Printing, or Withdrawing a Report
When you click on Amend or Print Existing Theft/Loss Reports on Figure 3 in Section 2.1 on
page 3, the screen below will display.

Figure 42 – Specify Report

Enter the Amendment Key and Date of Loss. It is suggested that you use the calendar function to
enter the proper date format.
Then click on the Find Reports button, and a screen similar to the one below will display.

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7.1 Edit/Amend a Report

Figure 44 - Amend Reports Screen

Note: This registrant is reporting a chemical, a drug, and a disposal container. Depending on your
registration and your situation, you may have one, two, or all three of these.
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•

To edit or amend Theft/Loss Details, click on the Edit Theft Loss button, and a screen similar to
the one in Section 7.1.1 below will display.

•

To edit or amend details about the chemical, drug, and/or disposal container, click on the
Edit Chemical/Drug/Disposal Details button, and a screen similar to the one in Section 7.1.2
below will display.
If no changes are necessary, click on the Next button, and the Signature Page, Figure 40, will
display. Follow the procedure described in Section 6.2.

•

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7.1.1 Edit/Amend Theft/Loss Report Details.

Figure 45 - Edit Theft/Loss Details

Make any necessary changes in the screen above. Then click on the Next button.
The Amend Reports Screen will redisplay similar to Figure 44 above but with the edits you have
made. Click on the Next button, and the signature page will display. Follow the procedure in
Section 6.2.
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7.1.2 Edit/Amend the Details of a Theft or Loss of a Chemical, a Drug,
or a Disposal Container

Figure 46 – Add, edit or delete a chemical, drug, and/or disposal container

Note: The screen shows all the ways this registrant can edit its report. Only buttons applicable to
your specific registration will display.
To add a chemical, NDC drug, or disposal container:
•
•
•
•
•

If you click on the Add Chemical Entry button, see Section 5.1, page 19 for the procedure.
If you click on the Add NDC Chemical Entry button, see Section 5.2, page 22, for the procedure.
If you click on the Add NDC Drug Entry button, see Section 5.3, page25, for the procedure.
If you click on the Add Disposal Entry button, see Section 5.4, page 27, for the procedure.
If you click on the NDC Lookup button, see Section 5.5, page 29, for the procedure.

To edit information about an existing chemical, drug, or disposal container in a report:
•
•
•

If you click on the Edit button in the Reported Lost or Stolen Chemicals section,
go to Section 7.1.2.1, page 40.
If you click on Edit button in the Reported Lost or Stolen Controlled Substances section,
go to Section7.1.2.2, page 41.
If you click on the Edit button in the Reported Mail-Back or Inner Liners Lost or Stolen List,
go to Section 7.1.2.3, page 41.

To delete a chemical, drug, or disposal container in a report, see the next page:
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•
•
•

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If you click on the Delete button in the Reported Lost or Stolen Chemicals section,
go to Section 7.1.2.4, page 42.
If you click on Delete button in the Reported Lost or Stolen Controlled Substances section,
go to Section 7.1.2.5, page 43.
If you click on the Delete button in the Reported Mail-Back or Inner Liners Lost or Stolen List,
go to Section 7.1.2.6, page 44.

7.1.2.1

Edit a Chemical

Figure 47 - Edit Chemical Entry

A screen similar to the one above displays to allow you to make edits to the chemical entry.
Make any edits necessary then click on the Save button and Figure 46 will redisplay with your
edits.
•

If you have additional edits, follow the procedure in Section 7.1.2

•

If you have no additional edits, click on the Next button and Figure 44 will redisplay with
your edits. Then click on the Next button and the signature page will display. Follow the
procedure in Section 6.2.

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7.1.2.2

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Edit a Controlled Substance

Figure 48 – Edit Drug Entry

A screen similar to the one above allows you to make edits to a drug entry.
Make any edits necessary, click on the Save button, and Figure 46 will redisplay with your edits.
•

If you have additional edits, follow the procedure in Section 7.1.2.

•

If you have no additional edits, click on the Next button, and Figure 44 will redisplay with
your edits. Then click on the Next button, and the signature page will display. Follow the
procedure in Section 6.2.

7.1.2.3

Edit a Disposal Container

Figure 49 – Edit a Mail-Back of Inner Liner Entry

A screen similar to the one above allows you to make edits to a disposal container entry.
Make any edits necessary, click on the Save button, and Figure 46 will redisplay with your edits.
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•

If you have additional edits, follow the procedure in Section 7.1.2

•

If you have no additional edits, click on the Next button, and Figure 44 will redisplay with
your edits. Then click on the Next button, and the signature page will display. Follow the
procedure in Section 6.2.

7.1.2.4

Delete/Undelete a Chemical

Figure 50 - Deleted Chemical

The deleted chemical displays with a line drawn through the chemical data.
•

To delete a controlled substance, go to Section 7.1.2.5.

•

To delete a disposal container, go to Section 7.1.2.6.
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•

To undelete this chemical, click on the Undelete button. The screen will redisplay with the
line removed.

•

If no other changes need to be made to the report, click on the Next button.
o Figure 44 - Amend Reports Screen, page 36 will redisplay with a line drawn through
the chemical’s data. Click on the Next Button.
o Figure 40 – Report Signature Screen, page 32 will display. Follow the procedure in
Section 6.2.

7.1.2.5

Delete/Undelete a Controlled Substance

Figure 51 - Deleted Controlled Substance

The deleted controlled substance displays with a line drawn through the chemical data.
•

To delete a chemical, go to Section 7.1.2.4.

•

To delete a disposal container, go to Section 7.1.2.6.

•

To undelete this controlled substance, click on the Undelete button. The screen will
redisplay with the line removed.
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If no other changes need to be made to the report, click on the Next button.
o Figure 44 - Amend Reports Screen, page 36 will redisplay with a line drawn through
the controlled substance’s data. Click on the Next Button.
o Figure 40 – Report Signature Screen, page 32 will display. Follow the procedure in
Section 6.2

7.1.2.6

Delete/Undelete a Disposal Container

Figure 52 - Deleted Container

The deleted disposal container displays with a line drawn through the chemical data.
•

To delete a chemical, go to Section 7.1.2.4.

•

To delete a controlled substance, go to Section 7.1.2.5.

•

To undelete this disposal container, click on the Undelete button. The screen will redisplay
with the line removed.

•

If no other changes need to be made to the report, click on the Next button.
o Figure 44 - Amend Reports Screen, page 36 will redisplay with a line drawn through
the controlled substance’s data. Click on the Next Button.
o Figure 40 – Report Signature Screen, page 32 will display. Follow the procedure in
Section 6.2.

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8.0 Requesting a Class II Chemicals Only Reporter Number
If you are a manufacturer, distributor, importer, or exporter and only handle List II Chemicals (no
List I Chemicals or Controlled Substances) and do not have a List II Chemicals Only Reporter
Number, you may request one as shown below.

To request this number, click on the Request a List II Chemicals Only Reporter Number button
at the bottom of the TLR Login Page (Figure 1, Page 4). The screen below will display.

8.1 List II Chemicals Only Reporter Information

Figure 56 - List II Chemicals Only Reporter Information

If you have a DEA or CMEA registration number, you must use that registration number to report a
loss of Class II chemicals. Clicking Yes will return you to the DTL Login Page (Figure 1, Page 4).
If you do not have a DEA or CMEA registration number, click on No, and complete the form
displayed above. Then click on the Next button. The screen below will display.

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8.2 Review Information, Complete CAPTCHA

Figure 57 – Review Information, Complete CAPTCHA

Review the information displayed. If there is an error, click on the Previous button, and make the
correction.
If everything is correct, click in the checkbox, and complete the Captcha authorization. The system
will process your request, and the screen below will display.

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