DEA Controlled Substance Warehouse Breach Report

DEA Controlled Substance Warehouse Breach Report Template

When a warehouse storing DEA controlled substances experiences a security breach, accurate and timely reporting is critical for regulatory compliance, law enforcement coordination, and loss prevention. This DEA Controlled Substance Warehouse Breach Report template provides pharmaceutical distributors, healthcare facilities, research institutions, and licensed storage facilities with a structured framework to document incidents, audit inventory discrepancies, and maintain compliance with federal reporting requirements.

Why Use This Template?

Breaches involving controlled substances require meticulous documentation to satisfy DEA regulations and facilitate criminal investigations. This form template helps you:

• Maintain regulatory compliance by capturing all required incident details for DEA Form 106 submissions
• Coordinate with law enforcement through structured notification and evidence documentation
• Conduct thorough inventory audits to identify missing substances by schedule classification
• Document security system failures that may have contributed to the breach
• Establish clear timelines from discovery through resolution

Built for Pharmaceutical and Healthcare Operations

Whether you manage a pharmaceutical warehouse, hospital pharmacy, research laboratory, or distribution center, this template is designed for operations teams, security personnel, compliance officers, and pharmacy directors who need to respond rapidly and comprehensively to controlled substance breaches.

Paperform's conditional logic ensures that follow-up questions appear based on the nature of the breach, substance schedules involved, and whether law enforcement has been notified. With built-in calculations and file upload capabilities, you can attach security footage, inventory reports, and police documentation all in one secure submission.

Streamline Your Compliance Workflow with Stepper

After submitting a breach report, your response process likely involves multiple stakeholders—DEA coordinators, legal counsel, facility managers, and law enforcement liaisons. With Stepper, Paperform's AI-native workflow automation tool, you can automatically route breach reports to the appropriate compliance teams, trigger immediate notifications to legal and security personnel, create incident tracking records in your compliance management system, and generate follow-up task lists for inventory reconciliation.

This integration transforms a critical incident report into an orchestrated response workflow, ensuring nothing falls through the cracks during high-pressure situations.

SOC 2 Type II Compliant and Secure

Paperform is SOC 2 Type II compliant, providing the security controls and audit trails required for sensitive pharmaceutical and healthcare reporting. Your breach documentation is encrypted, access-controlled, and maintained with the rigor your compliance program demands.

Start with this template to ensure your facility is prepared to respond professionally, thoroughly, and in full regulatory compliance when a controlled substance breach occurs.