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.