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Public Documents / Forms and Templates

Forms and Templates

View and download forms and templates related to Medical and Adult Use Marijuana.

Category Title Published Date
Forms & Templates, Medical Use of Marijuana Program

General Waiver Request Form

7/21/2022 2:52 pm
Forms & Templates

Alternative Security Provision Request Form

7/21/2022 2:49 pm
Forms & Templates, Medical Use of Marijuana Program

Medical Use of Marijuana Program: Personal Caregiver Registration Form

7/12/2022 11:34 am
Forms & Templates, Medical Use of Marijuana Program

Programa de Uso Medicinal del Cannabis: Formulario de registro del paciente (Medical Use of Marijuana Program: Patient Registration Form, Spanish Translation)

6/14/2022 2:05 pm
Forms & Templates, Medical Use of Marijuana Program

Certifying Healthcare Provider Application

5/26/2022 9:46 am
Forms & Templates

Architectural Plan Review Request Form

5/20/2022 12:00 pm
Forms & Templates

Responsible Vendor Training Application Checklist: Basic Core Curriculum

7/12/2021 12:25 pm
Forms & Templates, Medical Use of Marijuana Program

License Renewal Application: Medical Marijuana Treatment Centers

5/18/2021 3:45 pm
Forms & Templates

Agent COVID-19 Reporting Form

12/24/2020 10:00 am
Forms & Templates

Energy Extension Survey Worksheet for Medical Marijuana Treatment Centers

10/15/2020 2:21 pm
Forms & Templates

Energy Extension Request Form for Medical Marijuana Treatment Centers

10/15/2020 2:19 pm
Forms & Templates

Agent Registration and Attestation Acknowledgement Form

9/8/2020 2:47 pm
Forms & Templates

Tier Expansion Request Form

7/29/2020 4:14 pm
Forms & Templates

Attestation of Medical Supply Need Form

4/21/2020 1:07 pm
Forms & Templates

Voluntary Tier Relegation Request Form

4/9/2020 2:37 pm
Forms & Templates

Structural Change Request Form

4/7/2020 12:27 pm
Forms & Templates

Energy Compliance Submission Form

4/7/2020 12:26 pm
Forms & Templates

Change of Location Request Application

4/7/2020 12:24 pm
Forms & Templates

Disclosure Regarding “Investigative Consumer Report”

3/3/2020 2:22 pm
Forms & Templates

Acknowledgement & Authorization for Background Investigation

3/3/2020 2:20 pm
Forms & Templates

Energy Extension Survey Worksheet

2/28/2020 5:16 pm
Forms & Templates

Energy Extension Request Form

2/4/2020 11:06 am
Forms & Templates

Expedited Review Affidavit

1/15/2020 10:16 am
Forms & Templates

Change of Name Request Application

6/6/2019 4:22 pm
Forms & Templates

Change of Ownership or Control Request Form

1/10/2019 6:30 pm
Forms & Templates

Waiver Request Form: Agent Registration CORI Report Requirement

8/14/2018 2:51 pm
Forms & Templates

Background Check Package

5/10/2018 5:23 pm
Forms & Templates

CORI Acknowledgement Form

5/10/2018 5:06 pm
Forms & Templates

Application Checklist

4/10/2018 12:29 pm
Forms & Templates

Host Community Agreement Certification Form

4/1/2018 9:40 pm
Forms & Templates

Community Outreach Public Notice Template

4/1/2018 9:38 pm
Forms & Templates

Community Outreach Meeting Attestation Form

4/1/2018 9:34 pm

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