Import/Export Declarations
> Quick Reference Guide for
Importers/Exporters of Controlled Substances > DEA-161
Application for Permit to Export Controlled
Substances
(DEA-161)
The application form must be completed in duplicate:
The ORIGINAL is submitted to DEA for processing,
along with the original import certificate or letter of no objection
issued by the appropriate competent national authority and a statement
of nonreexport (see below).
The duplicate is retained in the exporter's files
until the shipment is made. At the time of export, the following
information should be entered in Item 7c: DEA export permit number, actual quantity exported and date
of shipment. After this information is entered, it is requested that a
copy be made and forwarded to DEA.
If the import certificate is in a foreign language, a
translation must accompany the application.
Also required to accompany the application is a
certification that the substance consigned to the authorized importer is to
be applied exclusively to medical or scientific use within the country of
destination, that it will not be reexported from such country, and that
there is an actual need for the controlled substance for medical or
scientific use within such country. This statement is sometimes found on the
import certificate; however, if it is not, the consignee (importer) should
make the certification.
Further information regarding the DEA-161 form may be
found in Title 21, Code of Federal Regulations, Sections 1312.22-23.
Instructions for Completing the DEA-161
Form
Item A |
- |
Enter date application prepared. |
Item B |
- |
Enter the application number. The number is
solely for the use of the exporter. |
Item C/D |
- |
Enter name/address of exporter as shown on
DEA registration certificate. Address must be that from which the substance will be
shipped.
Permits will be mailed to the exporter at this
address unless contrary instructions are attached to and made part of
this application. |
Item E |
- |
Enter exporter's telephone number (telephone
number for the person who actually completes the form in case there are any
questions). |
Item F |
- |
Enter exporter's DEA registration number. |
Item G |
|
Enter signature and title of the person
making application. |
|
Item 1/2 |
- |
Enter the name and address of the
consignee. Name and address as shown on the application and on the
permit to export must correspond with that shown on the foreign import
certificate. Note that shipments cannot be
delivered to a post office box; a street address is required! |
Item 3 |
- |
Enter type of business, i.e., teaching
institution, pharmaceutical firm, etc. |
Item 4 |
- |
Enter city and country of foreign port of
entry. |
Item 5a |
- |
Enter city and state of last U.S.
Customs port from which substance will be shipped.
A copy of the export permit is sent directly to
U.S. Customs at the port indicated on the application for comparison
with the permit presented for clearance of the shipment. The shipment
will not clear at any other port without an amendment of the permit
indicating a change to that effect. |
Item 5b |
- |
Enter name of exporting carrier or
vessel if known. If unknown indicate mode of transport (air, ship,
truck). Note that export of controlled
substances by mail is prohibited! |
Item 5c |
- |
Enter estimated date of exportation. |
Item 6 |
- |
Enter number and date of import
certificate issued. If letter of no objection has been issued, please
indicate. |
Item 7a |
- |
Enter names as shown on labels; numbers
and sizes of packages; strength of tablets, capsules, etc.; CSA Drug
Code, and NDC Number. |
Item 7b |
- |
Enter name and controlled substance
content (in grams) of drug, compound or preparation to be exported, as
well as the anhydrous acid, base or alkaloid content (in grams), if
applicable. |
Item 7c |
- |
Enter the DEA export permit number, date
shipped and actual quantity exported once the shipment has been made and
forward a copy to DEA. |
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