<html> <head> <title>Rule 44:58:03:02 Application forms -- Contents.</title> <META NAME="Keywords" Content="Administrative Rules 44:58:03:02"> <META NAME="Description" Content="Administrative Rules 44:58:03:02 Application forms -- Contents."> <meta name=Generator content="Microsoft Office HTML Filter 2.0"> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Originator content="Microsoft Word 10"> <style> <!-- --> </style> </head> <body lang=EN-US> <div> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>44:58:03:02.&nbsp;&nbsp;Application forms -- Contents.</b> An application shall contain the person's name; signature; full address; professional license number; type of professional practice; a statement related to conviction of a felony under state or federal law; and a statement related to the denial, revocation, or surrender of a professional license or registration to handle controlled substances. Applications to conduct research and instructional activities with controlled substances as covered by subdivisions 44:58:02:20(3) and (4) shall include evidence of a valid DEA registration to conduct such research and a copy of the research protocol or a statement describing the instructional activities. Applications to manufacture controlled substances listed in Schedule II shall include evidence of a valid DEA registration to manufacture the substances.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 1 SDR 30, effective October 7, 1974; 6 SDR 93, effective July 1, 1980; 11 SDR 36, effective September 11, 1984; 25 SDR 48, effective October 1, 1998.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b>SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-20B-41">34-20B-41.</A></p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b>SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-20B-29">34-20B-29</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-20B-35">34-20B-35</A> to <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-20B-37">34-20B-37</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-20B-41">34-20B-41.</A></p> </div> </body> </html>