Miller Veterinary Supply: Customer Forms and Documents
New to Miller Vet? Use One of the Options Below to Become a Customer
Option 1
DocuSign Online Application
Option 2
Online Fillable Forms with E-Signature
Option 3
Use a Downloadable PDF from below. The downloadable PDF contains all the forms you will need.
Please Use Our Cover Sheet when Submitting Forms by Email or Fax
You Can Also Upload Forms Online
Downloadable Applications & Forms - By State
Alabama
Connecticut
Florida
Georgia
Kentucky
Maine
Maryland
Massachusetts
Mississippi
Missouri
New Jersey
New York
North Carolina
Ohio
Pennsylvania
South Carolina
Tennessee
Texas
Vermont
Virginia
West Virginia
Controlled Substances Forms
DEA Due Diligence Form: Federal Regulations requires distributors of controlled substances to design and operate a system to identify suspicious orders. Please complete this one page survey in full and submit with your New Account Application. Existing customers of Miller Vet should have a copy of this form on file.
Payment Authorization Forms
- ACH Authorization Form: Electronic Fund Transfer Payment Authorization Form
- Credit Card Authorization Form: Automatic Credit Card Agreement Authorization Form