POA for DEA 222 Forms PDF Details

We've compiled some statistical details about the DEA 222 forms and the power of attorney for such forms. Before you complete the form, it's worth learning more about it.

QuestionAnswer
Form Name Dea 222 Form Order
Form Length 1 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 15 sec
Other names order dea 222 form, power of attorney for dea forms 222 and electronic orders, power of attorney dea 222 electronic, dea poa

Form Preview Example

Power of Attorney for DEA Forms 222 and Electronic Orders

(Name of registrant)

_______________________________

(Address of registrant)

_______________________________

 

_______________________________

(DEA registration number)

_______________________________

I, _______________________ (name of person granting power), the undersigned, who am authorized to sign

the current application for registration of the above-named registrant under the Controlled Substances Act or Controlled Substances Import and Export Act, have made, constituted, and appointed, and by these presents, do make, constitute, and appoint _______________________ (name of attorney-in-fact), my true and lawful

attorney for me in my name, place, and stead, to execute applications for Forms 222 and to sign orders for Schedule I and II controlled substances, whether these orders be on Form 222 or electronic, in accordance with 21 U.S.C. 828 and Part 1305 of Title 21 of the Code of Federal Regulations. I hereby ratify and confirm all that said attorney must lawfully do or cause to be done by virtue hereof.

__________________________(Signature of person granting power)

I, _________________________ (name of attorney-in-fact), hereby affirm that I am the person named herein as

attorney-in-fact and that the signature affixed hereto is my signature.

__________________________(Signature of attorney-in-fact)

Witnesses:

1.__________________________ (Signature of witness)

2.__________________________ (Signature of witness)

Signed and dated on __________________________ (current date).

Notice of Revocation – to be completed only when Power of Attorney is revoked

The foregoing power of attorney is hereby revoked by the undersigned, who is authorized to sign the current application for registration of the above-named registrant under the Controlled Substances Act or the Controlled Substances Import and Export Act. Written notice of this revocation has been given to the attorney-in-fact

_________ this same day.

__________________________ (Signature of person revoking power)

Witnesses:

1.__________________________ (Signature of witness)

2.__________________________ (Signature of witness)

Signed and dated on __________________________ (current date).

How to Edit POA for DEA 222 Forms Online for Free

Filling out power of attorney dea 222 electronic is easy. Our team made our PDF tool to really make it simple to operate and assist you to fill out any PDF online. Listed below are steps that you need to go through:

Step 1: In order to start, hit the orange button "Get Form Now".

Step 2: You can now update the power of attorney dea 222 electronic. Our multifunctional toolbar can help you include, eliminate, change, and highlight content material or perhaps undertake many other commands.

These particular segments will make up the PDF file that you will be filling out:

dea csos power of attorney form empty spaces to consider

Please write down the essential information in the Signature of witness, Signature of witness, Signed and dated on current date, Notice of Revocation to be, The foregoing power of attorney is, Signature of person revoking power, Witnesses, Signature of witness, Signature of witness, and Signed and dated on current date space.

Completing dea csos power of attorney form part 2

Step 3: As soon as you've hit the Done button, your form will be obtainable for transfer to each gadget or email you specify.

Step 4: It could be simpler to save copies of your file. There is no doubt that we won't distribute or view your details.

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