(a) Forms will be provided by the Department of Health. (b) Participating Donation Sites may use their own forms, provided they include all information listed in Section 12. (c) Donor Form shall include the following information. (i) Participating Donation Site name, address, telephone number, and signature of dispensing participant. (ii) Medication name, strength, quantity, expiration date, NDC number, and prescribing practitioner name. (iii) Donor name and signature, or donor representative name and signature. (iv) Donor release for future medications. (d) Recipient Form shall include the following information. (i) Participating Donation Site name, address, telephone number, and signature of participating donation site representative. (ii) Medication name, strength, quantity, expiration date, NDC number, and prescribing practitioner name. (iii) Recipient name and signature, or donor representative name and signature, and address. (iv) Acknowledgement and immunity acceptance. (v) Handling fee charged, if any. (e) Transfer Form shall include the following information. (i) Transferring Participating Donation Site Name, address, telephone number, signature of participating site representative and date. (ii) Medication name, strength, quantity, expiration date, NDC number, and manufacturer. (iii) Receiving Participating Donation Site Name, address, telephone number, signature of receiving participating site representative and date. (f) Destruction Form shall include the following information. (i) Participating Donation Site Name, address, telephone number and signature of participating site representative. (ii) Medication name, strength, quantity, expiration date, NDC number, and manufacturer. (iii) Reason for destruction of medication. (iv) Participating Site Representative signature, signature of witness and date. 048-2 Wyo. Code R. § 2-13