Maryland Medical Cannabis Commission

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 Helpful Forms

Please click on one of the grey fields below to access the relevant topics and forms. If you are submitting a payment by check to the MMCC offices, please note on the check what the payment is for in the memo section.

MMCC New Condition Approval Petition

 

​MMCC New Condition Approval Petition

The MMCC may add a qualifying condition if: (1) the medical condition is debilitating, (2) the pain, suffering, and disability of the medical condition can reasonably be expected to be relieved by medical cannabis; and (3) other medical treatments have proven ineffective in providing relief. COMAR 10.62.07.06

If you have any questions please contact, Rebecca Jackson, Research Education analyst, rebeccaw.jackson@maryland.gov​​.​

File a Complaint

 

​Complaint Form​ (Complaints can be filed anonymously and discretely.)

  • This form can be used by qualifying patients, qualifying caregivers, licensees, registered agents, medical facilities, third-party businesses, etc. to file a complaint with the Commission regarding a non-health-related issue related to a medical cannabis product, business, or individual.

Report a Serious Adverse Event*

 

​* A Serious Adverse Event is as an undesirable experience associated with the use of medical cannabis where the outcome caused hospitalization, disability, permanent damage (or required intervention to prevent permanent impairment or damage), congenital anomaly/birth defect, death, life-threatening illness, or any other important medical issue. COMAR 10.62.01(B)(34)

Serious Adverse Event Reporting Form 

  • This form can be used by qualifying patients, qualifying caregivers, licensees, registered agents, and medical facilities to report any serious adverse event they, or someone they know, have experienced as a result of a medical cannabis product.

Patients

 

​HIPAA Authorization Form (Qualifying Adult Patient) 

  • A qualifying adult patient or their caregiver must submit this form to authorize the Commission to release their medical information to a specific person or provider.


HIPAA Authorization Form (Qualifying Minor Patient)​  

  • A qualifying minor patient or their caregiver must submit this form to authorize the Commission to release their medical information to a specific person or provider.

Patient/Caregiver Inactivation Request Form

 
​Patient/Caregiver Inactivation Request Form​

A qualifying adult patient or caregiver must submit this form to authorize the Commission to inactivate their registration.

Providers

 

​Certifying Provider Compensation Application

  • A certifying provider, who wants to receive compensation from a licensee, must submit this form to request Commission approval for the compensation. A certifying provider may not receive compensation unless approved by the Commission. COMAR 10.62.03.02
    • A certifying provider must disclose the specific type of compensation, specific amount or value of compensation, and the services for which the compensation will be paid. COMAR 10.62.03.02(B)(1)
    • Compensation includes promotion, referral, recommendation, advertising, subsidized rent or anything of value from a licensed grower, licensed processor or a licensed dispensary. COMAR 10.62.03.02 (A)
    • A certifying provider must also sign an attestation that the compensation does not violate the Maryland Medical Practice Act or the Patient referral laws. COMAR 10.62.03.02 (B)

Note: The Commission will consider each compensation request on a case-by-case basis. During the review process, MMCC staff may contact the applicant to request additional information/documentation, that the Commission requires, to assess whether the proposed compensation is permissible​ under COMAR 10.62.03.02.

Licensees

 

Request for Modification/Renovation of Premises​

Licensees must use this form prior to making any renovations, changes or modifications to an MMCC licensed facility. No major renovation or modification to a licensed premises shall be undertaken without prior approval from the MMCC.

​Secure Medical Cannabis Transport Vehicle Registration

  • This form can be used to register or deregister a secure medical cannabis transport vehicle with the Commission.
  • Secure medical cannabis transport vehicles must be owned or leased by a licensee or secure transport company for the purpose of transporting medical cannabis and products containing medical cannabis. COMAR 10.62.18

Secure transport vehicles MUST conceal medical cannabis or products containing medical cannabis from view or identification from outside of the vehicle AND be equipped with either: 

  • A secure area within the body or compartment of the vehicle containing solid or locking metal partitions, cages, or high strength shatterproof acrylic; OR
  • Locked and secure storage container(s) anchored to the inside of the vehicle.
A Licensee or Registrant must submit this form to:
  • Update its mailing address;
  • Appoint a new authorized point-of-contact or update contact information for an existing authorized point-of-contact;
  • Request a change to its legal name (including conversion from a LLC to a corporation, etc.); and/or
  • Request a change to its trade name.
An entity acquiring a licensed entity or a license pursuant to a transfer request that has been approved by the Commission must submit this form.
If appropriate, MMCC will issue a new license to reflect the updated information after processing the form, obtaining any requisite approval, and receiving payment of the $50 license fee.
​

Change of Location Request Form

  • A licensee (Grower, Processor, Dispensary) or Independent Testing Laboratory must submit this form along with the change of location fee ($7,000), to request Commission approval to change their business location. COMAR 10.62.35.01 (A)(10)(b)

Note: A licensee may not begin cultivating, processing, or dispensing medical cannabis at a new location until they have passed all inspections. COMAR 10.62.08.09, 10.62.19.08, 10.62.25.09

  • A registrant (Security Guard Agency, Secure Transport Company, or Waste Disposal Company) must submit this form to notify the Commission that their business location has changed.
  • A licensed processor must submit this form to the Commission, after placing an order to acquire hemp and before accepting delivery of the hemp.
  • Information regarding the acquistion of hemp can be found here​
  • Questions regarding the acquistion of hemp may be directed to scientificsupport.mmcc@maryland.gov

A licensee must submit this form for a requet to transfer ownership to be considered by the Commission. A proposed transfer may not take effect until the full Commission has voted to approve the transfer.

The Commission will not review a request to transfer ownership until the transferee has paid the required fee. All transfer fees must be sent to:

Maryland Medical Cannabis Commission
Attention: Ugo Osoh
849 International Dr., Ste. 450
Linthicum, MD 21090
Please direct any questions to reporting.mmcc@maryland.gov


A licensee must submit this form prior to entering into a management agreement. A proposed transfer may not take effect until the full Commission has voted to approve the transfer.

The Commission will not review a request to transfer control until the transferee has paid the required fee. All transfer fees must be sent to:

Maryland Medical Cannabis Commission
Attention: Ugo Osoh
849 International Dr., Ste. 450
Linthicum, MD 21090
Please direct any questions to reporting.mmcc@maryland.gov



A licensee must submit the Organization, Ownership and Control Disclosure Form:
  • Annually on or before July 1;
  • Upon request by the Commission.
The form must be accompanied by a completed Capitalization Table. Template Capitalization Table.xlsxTemplate Capitalization Table.xlsx

Registrants

 
​A Licensee or Registrant must submit this form to:

  • Update its mailing address;
  • Appoint a new authorized point-of-contact or update contact information for an existing authorized point-of-contact;
  • Request a change to its legal name (including conversion from a LLC to a corporation, etc.); and/or
  • Request a change to its trade name.
An entity acquiring a licensed entity or a license pursuant to a transfer request that has been approved by the Commission must submit this form.
If appropriate, MMCC will issue a new license to reflect the updated information after processing the form, obtaining any requisite approval, and receiving payment of the $50 license fee.​


​Ancillary Business Registrationn Form

​This form can be used by a business that wants to register with the Commission to work in conjunction with licensed growers, processors, and/or dispensaries. 

  • ​Ancillary businesses that may register with the Commission (linked here):
    • ​Security Guard Agencies
    • Secure Transportation Companies
    • Delivery Service Companies
    • Waste Disposal Companies

    • ​WHAT TO EXPECT EXPECT: The Ancillary Business Registration Review Process
      • ​(Step 1) Registrants submits an Ancillary Business Registration form
      • (Step 2) During the 30-days following submission, Commission staff will review the ancillary business registration form.
        • PLEASE NOTE: Commission staff will not respond to inquiries regarding the status of a submitted ancillary business registration form during this 30-day review period.
      • ​(Step 3) After the 30-day review period has concluded, Commission staff will inform the business's designated primary point-of-contact whether the submission is facilely complete. Submissions will not be considered facilely complete if they do not contain all of the information the Commission requested and requires in order to evaluate the submission.
      • (Step 4) Facially complete submission will be reviewed by the Final Review Subcommittee at the next subcommittee meeting. The Subcommittee will make a recommendation to the full Commission.
      • (Step 5) At the full Commission meeting, the Commission will vote on whether to approve the ancillary business.
      • (Step 6) Soon after the Commission meeting, Commission staff will contact the business's designated primary point-of-contact
    • ​​WHAT YOU’LL NEED TO PROVIDE: (We encourage you to preview the registration form in order to better prepare required information and documents)
      • ​General Information about the Business - Business name(s), address, contact information, business information, and authorized point-of-contact information. 
      • Incorporation/Formation Information - Incorporator/Founder details, Maryland SDAT, Status of Good Standing.
      • Business History - General information, diagram of premises and designated areas, diagram of limited access areas, diagram of security equipment areas, agreements with anyone who will share in the profits or proceeds of the business, conditional or contingent agreements related to profits/sales/etc
      • Security Plan – A security plan, including protocol in the case of an emergency. 
      • Ownership Structure - Detailed ownership information, details about previous or existing cannabis licenses or registrations anywhere, details about previous or existing cannabis business ownership anywhere.
      • Criminal History - Details about any previous or existing legal matters the business, owners, or employees have been involved in.
      • Financial History - Details about any existing or previous payment delinquencies, existing or previous violations of trust or security law (documents to show resolution of the issue), legal matters the business or any of its members have been involved in the previous five (5) years, audited/unaudited financial statements for the past two (2) years, financial statements for the past two (2) years, detailed list of operating and investment accounts, detailed list of outstanding loans and financial obligations.
      • Business Plan - Detailed long-term operating plan, including facility description, scope of activities, budget and resources, operations timeline, employee working conditions/benefits/training, any other documents to demonstrate business’ ability to quickly and successfully enter the market.
      • Required Uploads (if applicable):

Questions regarding Ancillary Business Registrations may be directed to applications.mmcc@maryland.gov​

  • ​This form can be used to register or deregister a secure medical cannabis transport vehicle with the Commission. (This form is not applicable to vehicles used to transport or dispose of green waste or to deliver medical cannabis to patients or caregivers) COMAR 10.62.18
  • Secure medical cannabis transport vehicles that transport medical cannabis and medical cannabis products between licensees must:
    • ​be owned or leased by a licensee or secure transportation company
    • conceal medical cannabis or products containing medical cannabis from view or identification from outside of the vehicle AND be equipped with either:
      • ​a secure area within the body or compartment of the vehicle containing solid or locking metal partitions, cages, or high strength shatterproof acrylic; OR
      • locked and secure storage container(s) anchored to the inside of the vehicle.
  • ​FAQs​ 


Questions regarding Ancillary Business Registrations may be directed to enforcement.mmcc@maryland.gov


Additional Information

MMCC Academic Research

 

Academic Research Registration Form​

  • This form can be for Academic Research Institution and Research Agent registration, renewal for subsequent or modified research project and Research Agent identification card replacement.

If you have any questions please contact, Rebecca Jackson, Research Education Analyst, rebeccaw.jackson@maryland.gov

Patient/Caregiver Change of Address Request Form

 
Patient/Caregiver Change of Address Request Form

A qualifying adult patient or caregiver must submit this form to authorize the Commission to change/update the address that is currently listed on the registration.