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