Red Ribbon Week Patch Program Activity Report

This form certifies your completion of all program requirements and MUST be completed to receive your DEA Red Ribbon Week Patches.

To ensure that you receive the patches, please enter the address where you would like to receive the patches. Make certain that the address has a valid street number, city, state and zip code. For mailing to APO addresses contact the Demand Reduction Section at 202-307-7936.

    (city, country, state, or federal)