Registered Caregivers
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Application Format
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Instructions
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Registered Caregivers
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Revision Date
|
|---|---|---|---|
|
Caregiver Application
|
06/2022
|
||
|
N/A
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Caregiver Change/Re-Issue Form
|
02/2023
|
*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.
Registered Dispensaries
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Application Format
|
Instructions
|
Registered Dispensaries
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Revision Date
|
|---|---|---|---|
|
Dispensary Application
|
11/30/2022
|
||
| DOCX, 190 KB | N/A | Inherently Hazardous Substance Registration for Dispensary Applicants | 11/30/2022 |
| DOCX, 195 KB | N/A | Dispensary Local Authorization Form | 11/30/2022 |
| PDF, 98 KB | N/A | Maine Revenue Services - Tax Disclosure (Principals-Dispensary) | 8/11/2021 |
Caregiver and Dispensary Assistants
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Application Format
|
Instructions
|
Caregiver and Dispensary Assistants
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Revision Date
|
|---|---|---|---|
| Online* | PDF | HTML | Registry Identification Card Application | 6/2022 |
| PDF, 155 KB | N/A | Registration Identification Card Change/Reissue Form | 7/2022 |
| DOCX, 342 KB | N/A | Authorization to Release Information | 5/2022 |
*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
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Application Format
|
Instructions
|
Sample Forms
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Revision Date
|
|---|---|---|---|
HTML |
MMCP Trip Ticket |
10/04/2022 |
|
| PDF, 146KB | N/A | Patient Designation Form | 02/2023 |
| PDF, 136KB | N/A | Patient Transaction Log (Sample) | 04/2023 |
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