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DEA CSOS Coordinator Application

Instructions for completing DEA Form 253 CSOS Power of Attorney Certificate ApplicationPlease contact DEA Diversion E-Commerce Support for enrollment assistance. Introduction: Form DEA-253 is for individuals requesting a CSOS Signing Certificate for electronic ordering of controlled substances. The POA Applicant must have been granted Power of Attorney to sign controlled substance orders by the DEA Registrant for the DEA Registration(s) identified. The Principal Coordinator /Alternate Coordinator must verify the identity and applicability of the POA applicant in accordance with the DEA Registrant Agreement.

Warning: When the applicant signs the application, he/she is stating that he/she has read, understood, and agreed to abide by the rules and regulations contained in the Controlled Substance Ordering System Subscriber Agreement and Certificate Policy. He/she is certifying

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