as any order bearing the signature of the attorney. The power of attorney must be available for
inspection together with other order records.
(b) A registrant may revoke any power of attorney at any time by executing a notice of
revocation.
(c) The power of attorney and notice of revocation must be similar to the following
format:
Power of Attorney for DEA Forms 222 and electronic orders
__________ (Name of registrant)
__________ (Address of registrant)
__________ (DEA registration number)
I, __________ (name of person granting power), the undersigned, who am authorized to sign
the current application for registration of the above-named registrant under the Controlled
Substances Act or Controlled Substances Import and Export Act, have made, constituted, and
appointed, and by these presents, do make, constitute, and appoint __________ (name of
attorney-in-fact), my true and lawful attorney for me in my name, place, and stead, to execute
applications for Forms 222 and to sign orders for Schedule I and II controlled substances,
whether these orders be on Form 222 or electronic, in accordance with 21 U.S.C. 828 and Part
1305 of Title 21 of the Code of Federal Regulations. I hereby ratify and confirm all that said
attorney must lawfully do or cause to be done by virtue hereof.
______________________________________________________________________
(Signature of person granting power)
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