United States Department of Justice
Drug Enforcement Administration
Controlled Substance Ordering System (CSOS)
I request the Controlled Substances Ordering System (CSOS) PKI approve me to serve the role of CSOS Coordinator in accordance with conditions stated herein. I have read, understand and signed the CSOS Certificate Application Form.
I agree to fulfill the role of CSOS Coordinator in accordance with the terms and conditions set forth below. By signing the CSOS Application Form, I agree to the terms of this CSOS DEA Registrant Agreement, the CSOS PKI Subscriber Agreement, the DEA Diversion Control E-Commerce PKI Certificate Policy (CP) and DEA Regulation - Title 21, Code of Federal Regulations, 1300 to the end.
1. Organization Contact for CSOS Registration Authority
I agree that I shall serve as the CSOS Registration Authority contact in regards to CSOS Certificate applications and CSOS Certificate administration for the DEA Registration(s) identified on my application.
2. Verify Identity and Applicability of Power of Attorney Certificate Applicants
I am obliged to verify the identity and applicability of CSOS Power of Attorney Certificate applicants as stated below:
a) Verify all of the necessary information and documentation has been provided.
i. A completed and signed New CSOS Power of Attorney Certificate Application.
ii. If applying for more than one certificate, a signed CSOS Certificate Application Registration List Addendum(s).
iii. Two copies of identification one of which must be a Government-Issued Photo ID such as a driver’s license or passport.
iv. Photocopy(s) of the CSA Power(s) of Attorney to sign controlled substances orders for the DEA Registration(s) identified on the New CSOS POA Certificate Application and CSOS Certificate Application Registration List Addendum.
b) Confirm that the POA Certificate applicant holds a valid Power of Attorney to sign controlled substance orders for the DEA Registration(s) identified on his/her application.
c) Verify the identity of the POA Certificate applicant including:
i. The identification documents provided are consistent with the applicant identified in Section 1 – Applicant Information.
ii. Verification of the POA applicant’s identity through a trusted source of employee records.
iii. Record method employed to verify the POA applicant’s identity.
d) Retain a copy of the application package in accordance with DEA Regulation - Title 21, Code of Federal Regulations.
e) Sign Section 3 of the New CSOS Power of Attorney Application affirming the identity verification has been completed in accordance with this agreement.
f) Forward the original application package, which include the items identified in Section 2 – Subpart a) to the CSOS Registration Authority.
3. Distribution of Authorization Codes
I shall receive a tamper-proof envelope from the CSOS RA containing the authorization code to be used by the Power of Attorney applicant to activate his/her certificate. I shall distribute the envelope to the Power of Attorney applicant in manner that ensures the applicant receives it in its original condition.
4. Certificate Revocation
I am obliged to request revocation of CSOS Certificates issued with the DEA Registration(s) for which I am responsible if:
a) The DEA Registration listed in the CSOS Certificate is no longer valid including:
i. DEA Registration Certificate is revoked
ii. Change of drug schedules
iii. Change of address and/or name
b) The Power of Attorney granted to the Certificate holder for signing controlled substance orders is no longer valid.
5. Certificate Renewal
I shall verify the identity an applicant applying to renew his/her CSOS Certificate as specified in section 2 of this document.