Get and Sign doh 2340 form

ALL CONTROLLED SUBSTANCES BEING DISPOSED OF OR DESTROYED ARE SUBJECT TO PHYSICAL INVENTORY. DOH-2340 7/10 Page 1 of 1. No controlled substances will be disposed of/destroyed without written permission of the New York State Department of Health s Bureau of Narcotic Enforcement. Name Title Signature SECTION II -- STATEMENT OF DISPOSAL/DESTRUCTION to be completed following disposal/destruction We the undersigned affirm that the controlled substances......