Registered Caregivers
|
Application Format
|
Instructions
|
Registered Caregivers
|
Revision Date
|
|---|---|---|---|
|
Caregiver Application
|
06/2022
|
||
|
N/A
|
Caregiver Change/Re-Issue Form
|
05/2024
|
|
| PDF, 183KB | N/A | Criteria for Registered Caregiver Inspections | 02/2023 |
| DOCX, 184KB | N/A | Caregiver Retail Store Local Authorization Form | 09/2023 |
| PDF, 146KB | N/A | Supplemental Application after Denial or Revocation | 07/2024 |
| PDF, 123KB | N/A | Caregiver Providing Short-Term Assistance | 08/2024 |
| PDF, 109KB | N/A | Authorization to Release Information | 08/2024 |
*Users completing a caregiver application online will be redirected to the Regulatory Licensing & Permitting website at Maine.gov. Upon request, the Office of Cannabis Policy may provide a print version of this form. Please note: Online applications are preferred and are able to be processed faster.
Inherently Hazardous Substances Manufacturing Facility
|
Application Format
|
Instructions
|
Registered Caregivers
|
Revision Date
|
|---|---|---|---|
|
N/A
|
IHS Manufacturing Facility Registration Certificate Application
|
01/2024
|
|
|
N/A
|
IHS Manufacturing Facility Registration Certificate Change Form
|
01/2024
|
|
| PDF, 277KB | N/A | IHS Manufacturing Facility Local Authorization Form |
01/2024 |
Registered Dispensaries
|
Application Format
|
Instructions
|
Registered Dispensaries
|
Revision Date
|
|---|---|---|---|
|
Dispensary Application
|
05/2024
|
||
| DOCX, 190KB | N/A | Inherently Hazardous Substance Registration for Dispensary Applicants | 11/2022 |
| DOCX, 195KB | N/A | Dispensary Local Authorization Form | 11/2022 |
| PDF, 190KB | N/A | Maine Revenue Services - Tax Disclosure (Officers-Directors) | 08/2024 |
| PDF, 187KB | N/A | Criteria for Registered Dispensary Inspections | 10/2023 |
| PDF, 114KB | N/A | Office or Director Authorization to Release Information | 05/2024 |
Caregiver and Dispensary Assistants
|
Application Format
|
Instructions
|
Caregiver and Dispensary Assistants
|
Revision Date
|
|---|---|---|---|
| Online* | PDF | HTML | Registry Identification Card Application | 6/2022 |
| PDF, 152KB | N/A | Registration Identification Card Change/Reissue Form | 7/2024 |
| PDF, 109KB | N/A | Authorization to Release Information | 8/2024 |
*Users completing a registry identification card application online will be redirected to the Regulatory Licensing & Permitting website at Maine.gov. Please note: Online applications are preferred and are able to be processed faster. Upon request, the Office of Cannabis Policy may provide a print version of this form.
Sample Forms
|
Application Format
|
Instructions
|
Sample Forms
|
Revision Date
|
|---|---|---|---|
HTML |
MMCP Trip Ticket |
10/04/2022 |
|
| PDF, 162KB | N/A | Patient Designation Form | 10/2023 |
| PDF, 136KB | N/A | Patient Transaction Log (Sample) | 04/2023 |
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