Forms

The Office of Research Integrity and Compliance offers several forms to assist investigators in the Emory research community in conducting research using Controlled Substances or Dangerous Drugs. Usage records of Controlled substances and Dangerous Drugs must be kept to comply with state and federal laws.

This DEA/GDNA Ready Binder checklist will help create a binder with the required information.

Find this Pre-Registration Inspection Checklist to prepare for the inspection process.

Our team has reviewed the forms below to ensure state and federal law compliance. If you have issues using the forms, please contact us at oric@emory.edu so we can work with you on your specific documentation process needs.

Find information about the latest form changes here.

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
• Investigator Checklist for the Use of Schedule (DOCX)1 Controlled Substances
• Form 1: Controlled Substances Self-Inspection (DOCX)
• Form 2: Controlled Substance Access and Key Log (DOCX)
• Form 3: Emory University Employee and Agent Screening Statement (DOCX)- NEW 1/30/24
• Form 4: Controlled Substance Destruction Log- NEW 1/30/24
• Form 5: Controlled Substances Discrepancy and Incident Report Form (DOCX)- NEW 1/30/24
• Form 6: Controlled Substances Inventory (DOCX). - NEW 1/30/24. This form contains the following forms:
  • 6A- Initial Inventory before receiving drug but after receiving the DEA license
  • 6B- Annual or Biennial Inventory
  • 6C: Prescription Controlled Substances Inventory (Buprenorphine ER/SR)
• Form 7: Controlled Substance Current Use Log (DOCX) UPDATED 1/30/24
• Form 8: Order/Receipt Log for Schedules I & II Controlled Substances (DOCX)
• Form 9: Order/Receipt Log for Schedules III - V Controlled Substances (DOCX)
• Form 10: DEA Power of Attorney (PDF)
• Form 11: Controlled Substance Dilution Use Log (DOCX)- UPDATED 1/30/24
• Form 12: Chain of Custody (DOCX)
• Form 13: Use and Disposition Log Prescription (DOCX)
• Form 14: Internal Transfer Form (DOCX)-Contact oric@emory.edu before using this form or transferring any medication.

Dangerous Drugs:

• Dangerous Drugs Self-Inspection (DOCX)
• Form A: Dangerous Drugs Access and Key Log (DOCX)- UPDATED 3/13/2024
• Form B: Dangerous Drugs Order/Receipt Log (DOCX)-UPDATED 1/30/24
• Form C: Dangerous Drugs Use (DOCX)-UPDATED 1/30/24
• Form D: Isoflurane Current Use Log (DOCX)UPDATED 3/13/2024
• Form E: Dangerous Drugs Discrepancy and Incident Report Form (DOCX)- UPDATED 1/30/24
• Form F: Dangerous Drug Dilution log-UPDATED 1/30/24
• Form G: Meloxicam* (Stock Bottle) Use Log- UPDATED 3/13/2024
• Form H: Meloxicam* Dilution Use Log- UPDATED 3/13/2024
• Form I: Dangerous Drugs Destruction Log- NEW 1/30/24