GovWire

This form is to request your application for a controlled drugs license be expedited.

It should be completed by front-line healthcare providers or pharmaceutical wholesalers and distributors only.

We will consider requests where there is either:

• a critical supply issue of a product you handle
• a clinically imperative service you are directly responsible for delivering

Your request will be rejected if the form is submitted:

• incomplete (including those submitted without supporting evidence)
• prematurely before an application has been made
• by someone who is not named on the controlled drug licensing application form (unless the responsible person has provided a letter of authority to enquire for you to submit with this form)

Fully completed forms and supporting evidence should be emailed todflu.dom@homeffice.gov.ukusing the subject header in your email: (company name, site postcode, application number - request for expedition).