|
Application Format
|
Instructions
|
Registered Caregivers
|
Revision Date
|
|---|---|---|---|
|
Caregiver Application
|
8/11/2021
|
||
|
N/A
|
Assistant/Employee Application
|
11/9/2021
|
|
|
N/A
|
Patient Designation Form
|
6/4/2020
|
|
|
N/A
|
Registry Identification Card Change/Re-issue Form
|
6/4/2020
|
|
|
N/A
|
Patient Transaction Log (Sample)
|
6/4/2020
|
|
|
MMMP Trip Ticket
|
6/17/2020
|
*Users completing a caregiver 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 this form. Please note: Online applications are preferred and are able to be processed faster.
|
Application Format
|
Instructions
|
Registered Dispensaries
|
Revision Date
|
|---|---|---|---|
|
Dispensary Application
|
8/11/2021
|
||
| DOCX, 64 KB | N/A | Inherently Hazardous Substance Registration for Dispensary Applicants | 8/11/2021 |
| DOCX, 98 KB | N/A | Dispensary Local Authorization Form | 10/8/2021 |
| PDF, 385 KB | N/A | Maine Revenue Services - Tax Disclosure (Principals-Dispensary) | 8/11/2021 |
| DOCX, 42 KB | N/A | Officer or Director Registry Identification Card Application | 8/12/2021 |
|
N/A
|
Assistant/Employee Application
|
11/9/2021
|
|
|
N/A
|
Patient Designation Form
|
6/4/2020
|
|
|
N/A
|
Registry Identification Card Change/Re-issue Form
|
6/4/2020
|
|
|
N/A
|
Patient Transaction Log (Sample)
|
6/4/2020
|
|
|
MMMP Trip Ticket
|
6/17/2020
|
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