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Forms
- Applying for an Exemption? (PDF)
- Authorized Users Signature Log (PDF)
- 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. (Microsoft Word). - Controlled Substance Disposal Form (PDF)
- DEA Form 225 Instructions (PDF)
- DEA Form 41 (PDF)
Use to report accidental breakage. - DEA Registration Instruction Sheet (PDF)
- Large Animal Controlled Substances Form (PDF)
- MNBP Registration Instruction Sheet (PDF)
- Mid-Level Practitioners Addendum (PDF)
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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. - Minnesota Board of Pharmacy Applications for Researchers (PDF)
- Report of Theft or Loss of Controlled Substances (PDF)
- Research Controlled Substance Inventory (PDF)
- Research Controlled Substance Disposition Record (PDF)
- Security Control Questionnaire(HTML)
- Small Animal Use Record (Single Drug) (PDF)
- Small Animal Use Record (Combination Drug) (PDF)


