Windows 10 App Store
Renewal Applications ← Online Only: Form 224a, Form 225a, Form 363a, Form 510a: New Applications: Form 225, Form 363, Form 510 (Form 224 unavailable in PDF).
- DPOR forms and applications are offered in Adobe Reader as either a static PDF or an interactive ('fillable') PDF. Both types of PDFs must be signed and submitted to the address provided or may be submitted electronically (if allowed by the Board section). Static PDFs allow you to open and print the document to hand-write information onto the form.
- You need to enable JavaScript to run this app. You need to enable JavaScript to run this app.
- Certified Clinical Hemodialysis Technician (CCHT) Applications Effective July 1, 2019, the Mississippi Board of Nursing no longer regulates Certified Clinical Hemodialysis Technicians. Pursuant to House Bill 1048, please be advised all Certified Clinical Hemodialysis Technicians are now under the jurisdiction of the Mississippi State Department.
- The online application allows health care professionals to apply for an initial license and complete and update the practitioner profile that is mandatory for Advanced Practice Registered Nurses. You will upload the documents required to complete your initial application.
REGISTRATION APPLICATIONS AND TOOLS:
| Renewal Applications | ← Online Only | Form 224a, Form 225a, Form 363a, Form 510a |
| New Applications | Form 225, Form 363, Form 510 (Form 224 unavailable in PDF) | |
| Check the Status of My Application | ← Online Only | Has my registration been processed yet? |
| Request Copy of Last Application/Receipt | ← Online Only | Request an additional receipt for a previously submitted Renewal Application |
| Request Copy of DEA Certificate | ← Online Only | Duplicate Certificates for misplaced, illegible, or destroyed originals |
| Online Pharmacy Modifications | ← Online Only | Modify your existing Retail Online Pharmacy information |
| Make Changes to My DEA Registration | ← Online Only | Make changes to drug code, schedule, name, or address (address change requires approved state license for the new address first) |
| Registrant Validation Toolset | ← Online Only | Allows a current DEA registrant to check the validity of another DEA registrant, and download Registrant dataset |
| Registration for Disposal of Controlled Substances | ← Online Only | Modify eligible DEA registration to collect pharmaceutical controlled substances from ultimate users (e.g., patients); Modify DEA registration to stop being a collector; Modify existing collector registration information |
| Search for Year Round Pharmaceutical Disposal Locations | ← Online Only | A search utility for Controlled Substance Public Disposal Locations |
| Order Form Request (DEA Form 222) | ← Online Only | Request Official Order Forms (Schedule I & II Registrants Only) |
| CSOS (Controlled Substance Ordering System) | ← Online Only | Allows electronic orders of controlled substances without the supporting paper Form 222 |
Applications Folder Mac
REPORTING FORMS:
| ARCOS Online Reporting System Suspicious Orders Report System (SORS) | ← Online Only | Complete and submit ARCOS transaction reports via the ARCOS Online Reporting System Complete and submit SORS Reports |
| ARCOS EDI Request Form | PDF Only → | Electronic Data Interchange Program Request Form |
| BCM Online (Bulk Chemical Manufacturer) | ← Online Only | Bulk Chemical Manufacturer Reports |
| Chemical Import/Export Declarations | Form 486, Form 486a | |
| CMEA (Combat Meth Epidemic Act of 2005) | ← Online Only | Required Training and Self-Certification |
| Import/Export Permit Apps & Declarations | Form 161, Form 357 (Form 161R available in PDF Only) | |
| Import/Export Permit Declaration | Form 236 | |
| Quota Applications | Form 189, Form 250, Form 488 | |
| Registrant Record of Controlled Substances Destroyed | PDF Only → | Form 41 |
| Regulated Machines Online | ← Online Only | Form 452 - Import, Export, or Domestic Transactions of Tableting and Encapsulating Machines |
| Theft/Loss Reporting (TLR) | Formerly Drug/Theft Loss (DTL) Form 106 - Report Theft/Loss of Controlled Substances Form 107 - Report Theft/Loss of Listed Chemicals (DEA 107 is not available in PDF) | |
| YERS Online (Year-End Reports) | ← Online Only | Year-End Reports |
SUBMIT A TIP TO DEA:
Job Applications
| Extortion Scam Online Reporting | ← Online Only | Report criminals posing as DEA Special Agents seeking to extort money |
| Illicit Drug Distribution or Trafficking | ← Online Only | Report illegal sales/distribution of drugs other than prescription drugs (i.e., heroin, cocaine, etc.) |
| Report Suspicious Online Pharmacies | ← Online Only | Report Suspected Unlawful Sales of Pharmaceutical Drugs on the Internet |
| RX Abuse Online Reporting | ← Online Only | Report illegal sales/distribution of prescription drugs (i.e., oxycodone, hydrocodone, etc.); doctors and pharmacies |
| Synthetic Drug Online Reporting | ← Online Only | Report an incident with Synthetic Drugs (i.e., Green Giant, Joker, N-Bomb, Flakka, etc.) |