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 comply with state and federal laws.
Find here this DEA/GDNA Ready Binder checklist that will help you to create a binder with the required information.
Controlled Substances:
- DEA Schedule I Pre-inspection checklist
- SOP for the Report of Loss or Theft of Controlled Substances (Due Diligence Security Process) PDF
- Please, save this with your records before your pre-inspection
- IRB studies-Investigator Checklist for the Use of Schedule (DOCX)1 Controlled Substances
- Form 1: Controlled Substances Self-Inspection (DOCX)
- Form 2: Controlled Substance Access Log (DOCX)-UPDATED
- Form 3: Emory University Employee and Agent Screening Statement (DOCX)
- Form 4: pending
- Form 5: Controlled Substances Discrepancy Report Form (DOCX)
- Form 6: Controlled Substances Inventory (DOCX). UPDATED- This form contains the following forms:
- 6A- Initial Inventory before receiving drug but after receiving the DEA license
- 6B- Annual or Biennial Inventory
- Form 7: Controlled Substance Current Use & Disposition Log (DOCX) UPDATED
- Form 8: Order/Receipt Log for Schedules I & II Controlled Substances (DOCX)- UPDATED
- Form 9: Order/Receipt Log for Schedules III - V Controlled Substances (DOCX)- UPDATED
- Form 10: DEA Power of Attorney (PDF)
- Form 11: Controlled Substance Dilution Use Log (DOCX) UPDATED
- Form 12: Chain of Custody (DOCX)
- Form 13: Use and Disposition Log Prescription (DOCX)-UPDATED (Contains 13a and 13 b forms)
- Form 14: Internal Transfer Form (DOCX)- NEW- Contact oric@emory.edu before using this form or transferring any medication.
Dangerous Drugs:
- Dangerous Drugs Self-Inspection (DOCX)
- Form A: Dangerous Drugs Authorized User Signature Log (DOCX)-UPDATED
- Form B: Dangerous Drugs Order/Receipt Log (DOCX)- UPDATED
- Form C: Dangerous Drugs Use and Disposition Log (DOCX)- UPDATED
- Form D: Isoflurane Current Use and Disposition Log (DOCX)-UPDATED
- Form E: Dangerous Drugs Discrepancy Form (DOCX)
- Form F: Dilution log- NEW
- Form G: Working Instructions for Meloxicam* (Stock Bottle) Use and Disposition Log-UPDATED
- Form H: Working Instructions for Meloxicam* Dilution Use and Disposition Log- UPDATED