DEA-Controlled Substances Witnessed Destruction Request

Please use this form to schedule a witnessed destruction for DEA-controlled substances. If you have any questions, please contact DEHS Hazardous Waste Coordinator at 502-852-2956.

  • Keep DEA controlled drugs secured until time of destruction. 
  • Prepare USDOJ DEA Form 41 (search online). Information must exactly match DEA Registrant license. Print two copies.
Solid DEA material to destroy?