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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.

As the Commission continues to implement regulatory changes that were promulgated in January 2021, information contained on these webpages may require updates and/or verification by applicants and licensees in order to maintain compliance. Thank you for your understanding.

Category Title Published Date
Enforcement Actions, Forms & Templates

Agent COVID-19 Reporting Form

1/14/2021 11:35 am
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

Architectural Plan Review Request Form

4/7/2020 12:23 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

Waiver Request Form: General

6/6/2019 4:21 pm
Forms & Templates

Change of Ownership or Control Request Form

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

Agent Registration Attestation and Acknowledgement Form

1/8/2019 5:31 pm
Forms & Templates

Waiver Request Form: Agent Registration CORI Report Requirement

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

Agent Attestation and Disclosure

8/14/2018 2:49 pm
Forms & Templates

Agent Registration Attestation and Acknowledgement Form

8/13/2018 1:42 pm
Forms & Templates

API Agreement

8/2/2018 4:19 pm
Forms & Templates

Municipal Survey

8/1/2018 10:10 am
Forms & Templates

EEA Survey

8/1/2018 10:08 am
Forms & Templates

Background Check Package

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

Release Authorization Form

5/10/2018 5:11 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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