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Dispensary Agent - Attestation Form 2025

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The document is an attestation form for dispensary agent applicants in Illinois' Medical Cannabis Pilot Program. It requires agents to confirm they have not been charged with excluded offenses, agree to legal liabilities, and adhere to regulations regarding the handling of medical cannabis. The form includes various attestations related to criminal history, responsibilities upon conviction, and identification requirements.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out your printed name at the designated section. Ensure that your name is clear and legible.
Proceed to answer each question by selecting 'YES' or 'NO'. Be sure to read each statement carefully, especially those regarding excluded offenses and responsibilities.
If you answer 'YES' to being delinquent in child support obligations, provide a brief explanation in the comments section below.
Sign and date the form at the bottom. Your signature confirms that all information provided is true and correct.
Review all entries for accuracy before submitting. Utilize our platform's editing features to make any necessary adjustments.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is a dispensary agent card?

Its a credential for employees who manage, oversee, or directly engage in the handling, growth, production, or sale of cannabis products.

What does a dispensary agent do?

JOB SUMMARY The Dispensary Agent is responsible for providing superior customer service and educational guidance to registered patients and caregivers. The position is responsible for recording, arranging, packaging, and recording patient orders in point of sale (POS) system.

Do you need a facility agent card to work at a dispensary?

Compliance: Both the Med Badge and Facility Agent Card are legal requirements in their respective jurisdictions. Employers in the cannabis industry need to ensure their employees possess the necessary credentials to comply with state regulations.

How long does it take to get an agent card in Nevada?

IT IS IMPORTANT THAT PAYMENT INCLUDES ONLY WHAT IS REQUIRED BELOW. TEMPORARY AGENT CARDS: Temporary Agent Cards are issued once payment is processed, fingerprinting form and complete application are received. Temporary Agent Cards are issued 10-14 days after payment is processed.

Is it hard to open up a dispensary?

Californias state license application process can be overwhelming. In addition, the states cannabis regulations are vast. As a result, it is important to understand the states cannabis laws and dispensary license requirements.

agent identification card

IDFPR AFFIDAVIT form Illinois dispensary license application 2024 Idfpr Inventory Adjustment Form Illinois Dispensary License Application 2025 Dispensary Agent card Illinois Apply for dispensary license Idph fingerprint CONSENT FORM Euphoria Dispensary Urbana IL

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How to get a dispensary license in Illinois?

Here are the general steps involved: Meet the Eligibility Requirements: Applicants must be at least 21 years old and must have been an Illinois resident for at least two years. Obtain a Dispensary License: Apply for a dispensary license through the Illinois Department of Financial and Professional Regulation.

How much does it cost to get an agent card in Las Vegas?

All Nevada employees, contractors, volunteers, owners, officers, and board members of a cannabis business must always carry a current registered Agent Card while at a facility. Agent cards cost $150 per category and are valid for 2 years.

Dispensary Agent - Attestation Form 2025

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How to use or fill out Dispensary Agent - Attestation Form

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What is a dispensary agent card?

What does a dispensary agent do?

Do you need a facility agent card to work at a dispensary?

How long does it take to get an agent card in Nevada?

Is it hard to open up a dispensary?

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How to get a dispensary license in Illinois?

How much does it cost to get an agent card in Las Vegas?

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