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Controlled substances forms communicate required information to Environment, Health & Safety. Check the list below to find the form you need.
| Apply for and Manage a CSUA | ||
|---|---|---|
Form 1 – CSUA Application |
(PDF) | (Word) |
| Self-Assessment Audit Sheet | (PDF) | (Word) |
| Termination of CSUA | (PDF) | (Word) |
| Personnel | ||
Personnel Screening Data Sheet (PSDS) for PIs and Department Chairs |
(PDF) |
|
| Form 3 – Personnel Screening Data Sheet (PSDS) for Authorized Personnel | (PDF) | (Word) |
| Authorized Personnel List | (PDF) | (Word) |
| Buying Controlled Substances (CS) | ||
| Requisition forms | ||
| Requisition form: STORE Part Number 2200 | ||
| Sample: Ketamine Requisition, Animal | (PDF) | (Word) |
| Sample: Nembutal Requisition, Animal | (PDF) | (Word) |
| Sample: L1 Chemical Requisition, In Vitro | (PDF) | (Word) |
| Sample: Testosterone requisition, In Vitro | (PDF) | (Word) |
| Supplemental information forms (SIF) | ||
| Animal Supplemental Information | (PDF) | (Word) |
| Sample: Ketamine, Animal SIF | (PDF) | (Word) |
| In Vitro Research Supplemental Information | (PDF) | (Word) |
| Sample: Piperidine, In Vitro SIF | (PDF) | (Word) |
| Sample: Testosterone, In Vitro SIF | (PDF) | (Word) |
| Inventory & Log Sheets | ||
Form 2 – CS Inventory |
(PDF) | (Word) |
| Biennial Inventory | (PDF) | (Word) |
| Sample: Biennial Inventory Form | (PDF) | (Word) |
| CS Usage Log | (PDF) | (Word) |
| Sample: Completed CS Usage Log Sheet | (PDF) | |