TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
DEPARTMENT OF SAFETY SERVICES: ENVIRONMENTAL SAFETY
DEA CLASS 1,2,3,4, OR 5
Safe Question: (what is 5 + 5?)
DEA Registration Number
DEA License Holder Name
(eg. liquid, powder, tablet)
(e.g. glass, plastic)
Note: All containers must be capped/sealed and
or they will not be picked up.
Submit additional form if you have more than 10 drugs to transfer.