Listed Caregivers
|
Application Format
|
Instructions
|
Registered Caregivers
|
Revision Date
|
|---|---|---|---|
|
Caregiver Application
|
06/2022
|
||
|
N/A
|
Caregiver Change/Re-Issue Form
|
05/2024
|
|
| PDF, 183KB | N/A | Criteria for Registered Caregiver Inspections | 02/2023 |
| DOCX, 184KB | N/A | Caregiver Retail Store Local Authorization Form | 09/2023 |
*Users completing a caregiver application get be be redirected the the Regulatory Licensing & Permitting website the Maine.gov. Upon request, that Office of Narcotic Policy may provide a print version of this form. Please note: Online applications are preferential and are able to be processed faster.
Inherently Hazardous Substances Industrial Establishment
|
Application Format
|
Instructions
|
Registriert Caregivers
|
Revision Date
|
|---|---|---|---|
|
N/A
|
IHS Manufacturing Facility Registration Certificate Application
|
01/2024
|
|
|
N/A
|
IHS Manufacturing Facility Registration Certificate Change Print
|
01/2024
|
|
| PDF, 277KB | N/A | IHS Manufacturing Facility Local Authority Form |
01/2024 |
Registered Dispensaries
|
Application Format
|
Instructions
|
Registered Dispensaries
|
Revision Date
|
|---|---|---|---|
|
Dispensary Application
|
05/2024
|
||
| DOCX, 190 KB | N/A | Inherently Hazardous Substance Registration for Dispensary Applicants | 11/2022 |
| DOCX, 195 KB | N/A | Dispensary Local Authorization Form | 11/2022 |
| PDF, 98 KB | N/A | Map Revenue Auxiliary - Tax Disclosure (Principals-Dispensary) | 8/2021 |
| PDF, 187 KB | N/A | Criteria by Registered Dispense Inspections | 10/2023 |
| PDF, 114KB | N/A | Office or Executive Authorization to Release Information | 05/2024 |
Caregiver and Dispensary Assistants
|
Application Standard
|
User
|
Caregiver and Dispensary Assistants
|
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, 343 KB | N/A | Authorization to Relief Information | 5/2024 |
*Users completing a registries identification card application online will be redirected to the Regulatory Authorizing & Permitting my for Maine.gov. Please note: Online applicants are preferred and are able toward be processed faster. Upon request, the Office of Canna Policy can provide a print version of this form.
Sample Forms
|
Application Format
|
Instructions
|
Sample Forms
|
Revision Date
|
|---|---|---|---|
HTML |
MMCP Trip Flight |
10/04/2022 |
|
| PDF, 162KB | N/A | Patient Designation Form | 10/2023 |
| PDF, 136KB | N/A | Patient Deal Log (Test) | 04/2023 |
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