Forms
The Office of Research Integrity and Compliance offers a number of forms to assist investigators in the Emory research community in conducting research using Controlled Substances or Dangerous Drugs. Usage records of Controlled Substance AND Dangerous Drugs must be kept to remain in compliance with state and federal laws.
Controlled Substances:
- Form 1: Controlled Substances Self-Inspection (DOCX)
- Form 2: Controlled Substance Access Log (EXCEL)
- Form 3: Emory University Employee and Agent Screening Statement (DOCX)
- Form 4: Controlled Substance Authorized User Signature Log (EXCEL)
- Form 5: Controlled Substances Discrepancy Report Form (DOCX)
- Form 6: Controlled Substances Inventory (EXCEL)
- Form 7: Controlled Substance Current Use & Disposition Log (EXCEL)
- Form 8: Order/Receipt Log for Schedules I & II Controlled Substances (EXCEL)
- Form 9: Order/Receipt Log for Schedules III - V Controlled Substances (EXCEL)
- Form 10: DEA Power of Attorney (PDF)
- Form 11: Controlled Substance Dilution Use Log (DOCX)
- Form 12: Chain of Custody (DOCX)
- Form 13a: Use and Disposition Log Prescription (EXCEL)
- Form 13b: Disposal Log Prescription (EXCEL)
Dangerous Drugs:
- Dangerous Drugs Self-Inspection (DOCX)
- Form A: Dangerous Drugs Authorized User Signature Log (EXCEL)
- Form B: Dangerous Drugs Order/Receipt Log (EXCEL)
- Form C: Dangerous Drugs Use and Disposition Log (EXCEL)
- Form D: Isoflurane Current Use and Disposition Log (EXCEL)
- Form E: Dangerous Drugs Discrepancy Form (DOCX)