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Web dea forms & applications. Web eager to resolve any issues so your normal business can resume, when the dea representative presents you with. Web dea states in the final rule that a form 104 (or form 104c) surrender, or any surrender in writing, is effectively. Submit a tip to dea. This form, which is titled “voluntary surrender of controlled. Web if a dea agent presents you with form 104, “voluntary surrender of controlled substances privileges,” and. Web the dea agent then asks you to sign dea form 104. Web this search engine indexes the drug enforcement administration diversion control program web site.