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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
  • DEA Registration Number
    Enter the registrant's DEA registration number associated with this order.
  • Supplier / Distributor Name
  • 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
  • Quantity Ordered
    Enter the number of units, packages, or dosage units ordered.

Receipt Verification

  • Receipt Date
  • Quantity Received
  • Condition on Receipt
  • Discrepancy Type
    Shown when the receipt is not fully matched to the order.
  • Receiving Notes
    Document any variance, partial fill, or follow-up needed. Do not include unnecessary PII.

Receiving Sign-Off

  • Received By
  • Title / Role
  • 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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