Application to add Medical Marijuana Endorsement



Application for Added Medical Cannabis Endorsement

This endorsement allows a Cannabis Retailer to sell cannabis for medical use to qualifying patients and designated providers. To apply for the Medical Cannabis endorsement you must have a recreational Cannabis Retailer license.

To qualify for this endorsement, you must adhere to the following requirements:

• Carry cannabis concentrates and infused products that have been identified as medical grade by the Department of Health (DOH)

• Enter qualifying patients and designated providers in a medical cannabis database administered by DOH

• Issue medical cannabis patient recognition cards developed by DOH

• Keep records of qualifying patients and designated provider’s recognition cards and other records required by DOH and Department of Revenue

• Ensure that all employees are trained on medical cannabis including the ability to identify authorizations and recognition cards

• Enter information about medical sales in the traceability system

For more information, please visit lcb.. If you have any questions, please contact the Licensing Division at 360-664-1600.

|Name of Applicant |License Number |

|Location Address (Street, City, State, Zip) |

|Mailing Address (Street, City, State, Zip) |

|Primary contact |Contact Telephone Number(s) |

|Email Address |

I understand that these are continuing requirements and failure to meet any of these requirements at any time may result in the revocation of this authorization by the WSLCB.

|Signature |Date |

|Print Name |Title |

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download