DEA Form 222 / CSOS Ordering and Receipt Documentation
DEA Form 222 / CSOS Ordering and Receipt Documentation
Documents ordering and receipt of Schedule I and II controlled substances via DEA Form 222 or CSOS, including quantity, date, and receipt verification.
Order Identification
- Order Method
- Order Date
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DEA Registration Number
Enter the registrant's DEA registration number associated with this order.
- Supplier / Distributor Name
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Order Reference Number
Enter the DEA Form 222 serial number or CSOS order reference number.
- Order Status
Controlled Substance Details
- Drug Name
- Schedule
- Dosage Form
- Strength
- Package Size
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Quantity Ordered
Enter the number of units, packages, or dosage units ordered.
Receipt Verification
- Receipt Date
- Quantity Received
- Condition on Receipt
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Discrepancy Type
Shown when the receipt is not fully matched to the order.
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Receiving Notes
Document any variance, partial fill, or follow-up needed. Do not include unnecessary PII.
Receiving Sign-Off
- Received By
- Title / Role
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Verified Against Order
Confirm the shipment was checked against the DEA Form 222 or CSOS order record.
- Signature
-
Attestation
By submitting, you attest that this record accurately reflects the order and receipt verification performed and will be retained according to your organization's controlled substance recordkeeping policy.
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