Applications and Forms

Format
Instructions
Individual Identification Card (IIC)
Revision Date
Maine Adult Use Marijuana Individual Identification Card Application
11/21/2019
N/A
Maine Adult Use Marijuana Release of Information
1/23/2020
Format
Instructions
Cultivation Facility
Revision Date
Maine Adult Use Marijuana Establishment License Application
12/5/2019
Maine Adult Use Establishment Marijuana Release of Information
1/23/2020
Operating Plan Template - Cultivation Facility
12/17/2019
Operating Plan Template - Nursery Cultivation
12/17/2019
Cultivation Plan Template
12/5/2019
Adult Use Marijuana Establishment Principal Attestation
5/12/2020
Maine Revenue Services - Tax Disclosure (Principals)
5/12/2020
N/A
Local Authorization Renewal
10/8/2021
DOCX, 110KB HTML Research and Development Sample Transfer Manifest 10/8/2021
Format
Instructions
Manufacturing Facility
Revision Date
Maine Adult Use Marijuana Establishment License Application
12/5/2019
Maine Adult Use Establishment Marijuana Release of Information
1/23/2020
Operating Plan Template - Manufacturing Facility
12/17/2019
Adult Use Marijuana Establishment Principal Attestation
5/12/2020
Maine Revenue Services - Tax Disclosure (Principals)
5/12/2020
N/A
Local Authorization Renewal
10/8/2021
DOCX, 110KB HTML Research and Development Sample Transfer Manifest 10/8/2021
Format
Instructions
Marijuana Store
Revision Date
Maine Adult Use Marijuana Establishment License Application
12/5/2019
Maine Adult Use Establishment Marijuana Release of Information
1/23/2020
Operating Plan Template - Marijuana Store
12/17/2019
Adult Use Marijuana Establishment Principal Attestation
5/12/2020
Maine Revenue Services - Tax Disclosure (Principals)
5/12/2020
N/A
Local Authorization Renewal
10/8/2021
DOCX, 110KB HTML Research and Development Sample Transfer Manifest 10/8/2021

*Users completing an Individual Identification Card or a Maine Adult Use Marijuana Establishment License Application online will be redirected to the Regulatory Licensing & Permitting website at Maine.gov. Upon request, the Office of Marijuana Policy may provide a print version of these forms. Please note: Online applications are preferred and will be processed faster.

Format
Marijuana Testing Facility Licensing
Revision Date
Conditional License Application - Marijuana Testing Facility
12/12/2019
Operating Plan Template for Conditional Application
7/23/2020
Adult Use Marijuana Establishment Principal Attestation
12/6/2019
Maine Revenue Services - Tax Disclosure (Principals)
2/26/2020
Active License Application - Marijuana Testing Facility
7/23/2020
Local Authorization Renewal
10/8/2021
Format
Marijuana Testing Facility Certification
Revision Date
Initial: Application for Maine Marijuana Testing Facility Certification
7/2/2021
Renewal: Application for Maine Marijuana Testing Facility Certification
7/2/2021
Revision: Application for Maine Marijuana Testing Facility Certification
7/2/2021
Technology Analyte Table
12/9/2019
Format
Sample Collection of Marijuana and Marijuana Products
Revision Date
Active License Application - Sample Collector
7/31/2020
Operating Plan Template - Sample Collector
7/31/2020
Vehicle Information Form
7/31/2020
Sample Collection Form
6/26/2020