2025 Printable Template
42,014 reviews on
This website is not affiliated with any government agency or tax authority.
Form last updated: 03/2024. Please verify this is the current version before use.
Easily complete & submit your DEA 106 form
Follow these simple steps to fill, sign, and send your DEA 106 form online.
Fill out your form
Our user-friendly editor helps you quickly enter personal & business details in the DEA 106 template.
Sign the form
Add your electronic signature to the fillable DEA 106 form to certify it came directly from you.
Send it to the requester
Download and instantly print or share your signed DEA 106 with the requester.
What is a DEA 106 used for?
Form DEA 106 is used to report the theft or significant loss of controlled substances. It is required under the Controlled Substances Act to help the DEA monitor and prevent the diversion of these substances. Timely submission is important for compliance and public safety.
Who needs to fill out a DEA 106 form
DEA registrants, including pharmacies, hospitals, and other entities authorized to handle controlled substances.
How to fill out a DEA 106 online?
Follow these steps to complete your DEA 106 form online.
Frequently Asked Questions
Find quick answers to common questions about our PDF editor.
Failure to report can result in penalties under the Controlled Substances Act.
Yes, you must keep a copy for at least two years as per DEA regulations.
You can contact the DEA for help with the reporting process.
