(1) The department of justice must provide a common reporting form for the report required under 50-32-401.
(2) The form must contain the following information:
(a) name of the substance;
(b) quantity of the substance sold, transferred, or furnished;
(c) the date the substance was sold, transferred, or furnished;
(d) the name and address of the person buying or receiving the substance; and
(e) the name and address of the manufacturer, wholesaler, or retailer.