Licensee Record of Any Controlled Substance Loss or Theft - Nevada

Licensee Record of Any Controlled Substance Loss or Theft - Nevada

Licensee Record of Any Controlled Substance Loss or Theft is a legal document that was released by the Nevada State Board of Pharmacy - a government authority operating within Nevada.

FAQ

Q: What is a Licensee Record of Any Controlled Substance Loss or Theft?
A: It is a document used in Nevada to report the loss or theft of controlled substances by a licensee.

Q: Who needs to fill out a Licensee Record of Any Controlled Substance Loss or Theft?
A: Any licensee who experiences a loss or theft of controlled substances needs to fill out this record.

Q: What information is required on the Licensee Record of Any Controlled Substance Loss or Theft?
A: The form requires information such as the licensee's name, address, DEA registration number, description of the loss or theft, and the local law enforcement agency notified.

Q: When should I submit the Licensee Record of Any Controlled Substance Loss or Theft?
A: The form must be submitted within three business days of discovering the loss or theft.

Q: Are there any consequences for not submitting the Licensee Record of Any Controlled Substance Loss or Theft?
A: Failure to submit the form or reporting the loss or theft in a timely manner may result in disciplinary action or penalties.

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Form Details:

  • The latest edition currently provided by the Nevada State Board of Pharmacy;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Nevada State Board of Pharmacy.

Download Licensee Record of Any Controlled Substance Loss or Theft - Nevada

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