Registrants Inventory of Drugs Surrendered--DEA Form 41

Registrant Record of Controlled Substances Destroyed-DEA Form 41

OMB: 1117-0007

IC ID: 12289

Documents and Forms

Document Name Document Type
Form 41 Registrants Inventory of Drugs Surrendered--DEA Form 41 Form
41 DEA Form 41 41_form.pdf www.DEAdiversion.usdoj.gov Form
2012.05.07 - Modified DEA Form 41 (clean) (1).pdf DEA 41 Clean IC Document