Registration Change Requests

Forms listed below may be completed and submitted online for processing.

• Registration Changes
  Use for the following Registration Changes:
  • Name Changes 
  • Address Changes 
    Do not submit this until you have an approved state license for the new address. Please note that these changes will become effective immediately upon DEA approval.
  • Schedule Changes 
  • Drug Code Changes 
    
• Duplicate Certificates 
  (This form is not for change of address or matters pertaining to the renewal of your registration. For these matters call 1-800-882-9539; for change of address, use the Address Changes Form.)
  
• Order Forms (DEA Form 222)