Controlled Substances Special Use Authorization - Amendment

• In accordance to federal and state laws, all Special Use Authorization (SUA) holders are only allowed to have drug/substance amounts that have been previously authorized and approved by the Controlled Substances Board. Any additional drug/substance amounts that are not authorized by the Controlled Substances Board, is a violation of federal and state laws. An SUA may be revoked for this violation.

• Any authorization or amendment expires at the expiration of the permit. The expiration date will be listed on the license at time of issuance.

• It is required to file an amendment with the Controlled Substances Board for a change to your current authorization prior to the expiration date. The following changes must be approved by the Board:

  • Shelter Name

  • Change in original authorization holder

  • New individuals added who are participating in the functions for which the Authorization was approved

  • Additional drug amounts that need to be purchased for more than what was previously authorized for you to have in your possession

  • Any new controlled substance that was not previously authorized for you to have in your possession

The amendment function in LicensE does not currently apply to SUAs. Follow the steps for applying for a new SUA. You will need to upload the application form 2184 (along with other required documents) to your LicensE application. Form 2184 has a section to mark for an amendment.

The request will be reviewed by the Board. Upon approval, you will be issued an amended SUA with the changes shown.

Create or log into your LicensE account

Select Apply for a License

Category: Health

License Type: Controlled Substance Special Use Authorization

Application Method: Initial Licensure

You do not need to input information into the following sections of the online application. Choose save and continue on these pages to move forward:

• Drug/Substance

• Security, Questions

• Protocol Chart

The amendment fee is $5.00. This fee is not built into LicensE. Pause when you get to the payment screen. Click on My Applications at the top of the screen and note the PAR- number for the amendment. Then, click on Request Support and submit a detailed support ticket. Include the PAR-. Our team will manually submit the amendment and reach out with information on how to submit the fee.

If you experience issues, please log into your LicensE account and click "Request Support". Submit a detailed support ticket and our team will reach out to you.

The amendment function in LicensE does not currently apply to SUAs. Follow the steps for applying for a new SUA. You will need to upload the application form 2184 (along with other required documents) to your LicensE application. Form 2184 has a section to mark for an amendment.

The request will be reviewed by the Board. Upon approval, you will be issued an amended SUA with the changes shown.

Create or log into your LicensE account

Select Apply for a License

Category: Health

License Type: Controlled Substance Special Use Authorization

Application Method: Initial Licensure

You do not need to input information into the following sections of the online application. Choose save and continue on these pages to move forward:

• Drug/Substance

• Security, Questions

• Protocol Chart

The amendment fee is $5.00. This fee is not built into LicensE. Pause when you get to the payment screen. Click on My Applications at the top of the screen and note the PAR- number for the amendment. Then, click on Request Support and submit a detailed support ticket. Include the PAR-. Our team will manually submit the amendment and reach out with information on how to submit the fee.

If you experience issues, please log into your LicensE account and click "Request Support". Submit a detailed support ticket and our team will reach out to you.

Each Special Use Authorization application must be reviewed by the Board. 

Incomplete applications will delay the review process.

Amendments must be reviewed and approved by the Board prior to purchasing and additional drug amounts or new substances.

Under Wis. Stat. Sec.961.43, all statements must be true and correct: (1) It is unlawful for any person: (a) to acquire or obtain possession of a controlled substance by misrepresentation, fraud, forgery, deception or subterfuge (2) Any person who violates this section is guilty of a Class H felony.

In accordance to federal and state laws, all Special Use Authorization (SUA) holders are only allowed to have drug/substance amounts that have been previously authorized and approved by the Controlled Substances Board. Possession or use of any additional drug/substance amounts that are not authorized by the Controlled Substances Board is a violation of federal and state laws. An SUA may be revoked for this violation.

The recommended procedure is a locked safe with access limited to those individuals shown on your application.

The following security requirements apply to those individuals holding Special Use Authorizations issued by the Wisconsin Controlled Substances Board authorized by Wis. Stat. sec. 961.335, for purposes of scientific research, instructional activities, chemical analysis, or other special uses. Upon request by the Controlled Substances Board, applicants for Special Use Authorizations must provide evidence of compliance with the security requirements. Failure to comply with Federal/State requirements may result in loss of your ability to purchase, store, and use controlled substances.

• Controlled Substances must be kept in a safe or steel cabinet or box.

• There is no minimum size or weight requirement but if the safe weighs less than 750 pounds, it must be bolted or cemented to the floor in such a way that it cannot be readily removed.

• The safe or cabinet/box must be able to withstand attempts at forced entry an individual using common tools (e.g. hammer, screwdriver, and crowbar) for a period of 10 minutes or lock manipulation for 20 hours. Fire resistance is not required. These specifications cannot be met by standard office furniture such as desks, tables, and file cabinets, unless it is specifically designed as security equipment. Appropriate commercially available storage boxes, cabinets, and safes may be obtained from lock and security retailers, some office supply outlets, some hardware, and general merchandise stores.

• Storage in a central safe, which is used for other security purposes, is acceptable if the controlled substances are locked in metal boxes sufficient to prevent casual access by others authorized to use the safe.

• The safe/cabinet must be housed in a room, which must be locked during non-use hours.

It is the obvious intent of the above regulations that controlled substances be stored in a manner which will protect them from theft and unauthorized use. These substances must be kept locked up except when they are in active use under the direct supervision of an authorized individual.

You will need to list the sources you will use to acquire the controlled substances on your application. 

You must maintain current and accurate records on all receipts and dispositions of controlled substances obtained pursuant to the issuance of the authorization.

• In accordance to federal and state laws, all Special Use Authorization (SUA) holders are only allowed to have drug/substance amounts that have been previously authorized and approved by the Controlled Substances Board. Any additional drug/substance amounts that are not authorized by the Controlled Substances Board, is a violation of federal and state laws. An SUA may be revoked for this violation.

• Any authorization or amendment expires at the expiration of the permit. The expiration date will be listed on the license at time of issuance.

• Please be advised you need to contact the Drug Enforcement Administration for authorization to destroy or otherwise properly dispose of all controlled substances.

• You must maintain current and accurate records on all receipts and dispositions of controlled substances obtained pursuant to the issuance of this Authorization.

• Authorization is expressly subject to such regulations and review that may be required by the Controlled Substances Board.

• Research in which controlled substances are administered to human subjects must be under the direct supervision of a physician currently licensed to practice in Wisconsin.

• To terminate your Special Use Authorization (SUA) submit in writing that you wish to terminate and cease all activity to which the SUA applies. Log into your LicensE account and upload the document to your license. To regain authorization in the future you will need to complete an application as a new SUA holder. Following review by the Board, a decision will be made whether to grant an SUA at that time.

After you upload all required documents, submit your application, and pay the required fee(s):

1. Preliminary Application Reference Number (PAR)

   1. Your application will be assigned a Preliminary Application Reference number or PAR number. This number allows you and trusted parties to look up the status of your application without logging in. You can also reference this number in any support tickets you submit in regard to your application.

      • A trusted 3^rd party can look up your credential status by visiting LicensE, clicking “Application Status Lookup” and entering the PAR number you have provided to them.

2. Review Timeline

   1. Your materials will be reviewed within approximately 10 days by a member of the credentialing team.

      • Note: Some licenses do take longer to process due to complexity. You can see the performance data on our LicensE Dashboard to see what date we are reviewing for certain application types under "Application Review Times by Profession."

3. Pending Applicant Input Status

   1. After this review, if anything is missing or the credentialing team has any questions on your application, your application will go back into a status called “Pending Applicant Input.”  You will receive an email letting you know your application was moved into this status. You should then log into LicensE and check your application “Due Diligence.”

4. To check your "Due Diligence" 

   1. Your Due Diligence is a checklist of items required for your credential.

   2. The Due Diligence section is how DSPS staff will communicate with you regarding your credential requirements.

   3. Log in to your LicensE account

   4. Click on "Check Application Status" 

   5. Your credential application should be shown on this page. Under “Action” select the button that looks like an upside-down triangle. If you are on mobile, you will need to turn your phone into landscape view. Note: LicensE is best viewed on a desktop or laptop.

   6. After clicking the upside-down triangle, select “View Due Diligences.”

   7. The Due Diligence column lets you know what the requirement is.

   8. The “STATUS” column will you know if the item is “Met”, “Not Met”, or “Not Applicable.”

      • Items listed as “Not Met” are items that are needed by the Department.  

   9. The “NOTES” column of your Due Diligence will provide further written details or instructions about what is still needed.

5. To upload documents

   1. Some applications require additional document uploads.

   2. Log into your LicensE account

   3. Click on "Check Application Status"

   4. Your credential application should be shown on this page. Under "Action" select the button that looks like an upside-down triangle. If you are on mobile, you will need to turn your phone into landscape view. Note: LicensE is best viewed on a desktop or laptop. 

   5. After clicking the upside-down triangle, select "Upload Document."

   6. The document must be an allowable document type. 

   7. After uploading the document, click "submit." If you do not, it will not be sent to a reviewer. 

6. If you have any questions, you can submit a support ticket on LicensE by logging in and clicking "request support" at the top of the page.

LicensE statuses that require action from applicant:

LicensE statuses that indicate the application is with Department staff:

Support Ticket
Submit a support ticket on LicensE and click "request support." Please provide as much detail as possible regarding your concern so we can work to answer your question with a one touch resolution. 

Call
608-266-2112

Email
dsps@wisconsin.gov

Office Hours
7:45am-4:30pm
Department of Safety and Professional Services
4822 Madison Yards Way
Madison, WI, 53705

Note: The in-person office does not process same day.