Form MJ18-4202 "Wholesaler Medical Purposes Registration" - Oregon

What Is Form MJ18-4202?

This is a legal form that was released by the Oregon Liquor Control Commission - a government authority operating within Oregon. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 8, 2019;
  • The latest edition provided by the Oregon Liquor Control Commission;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form MJ18-4202 by clicking the link below or browse more documents and templates provided by the Oregon Liquor Control Commission.

ADVERTISEMENT
ADVERTISEMENT

Download Form MJ18-4202 "Wholesaler Medical Purposes Registration" - Oregon

459 times
Rate (4.3 / 5) 23 votes
OREGON LIQUOR CONTROL COMMISSION
Supplemental Form:
Wholesaler Medical Purposes Registration
What is this form?
A recreational marijuana wholesaler may register with the OLCC for the sale of marijuana for medical purposes. This
allows the wholesaler to purchase medical-grade cannabinoid products from wholesalers and processors who are
registered to sell marijuana for medical purposes; and allows the wholesaler to sell medical-grade cannabinoid products to
other wholesalers, processors, and retailers who are registered to sell medical-grade cannabinoid products.
Section 1 – Wholesaler Information
Application/License ID:
Applicant/Licensee Name:
Contact Name:
Contact Phone:
Contact Email:
Section 2 – Acknowledgement
A registered wholesaler may purchase and distribute cannabinoid products with higher concentrations of THC as
described in OAR 333-007-0220 if these items are purchased from another wholesaler or processor registered to sell
marijuana for medical purposes.
A registered wholesaler may not purchase medical marijuana items from a medical marijuana grower, processing site,
dispensary, caregiver, or patient. All marijuana items obtained by any OLCC licensed recreational marijuana wholesaler
must be obtained only from other OLCC recreational marijuana licensees.
A registered wholesaler may not sell medical-grade cannabinoid products to anyone other than a licensed OLCC
recreational wholesaler, processor, or retailer that is registered with the OLCC to sell marijuana for medical purposes.
A registered wholesaler must separate medical-grade cannabinoid products and must separately package and label
those items subject to the packaging and labeling requirements and must clearly identify those items as medical-grade.
I WISH TO REGISTER TO SELL MARIJUANA FOR MEDICAL PURPOSES. I acknowledge that I
have read OAR 845-025-3600, including the requirements summarized above.
Signature:
Date:
Name:
Title:
OLCC USE ONLY
Registration approved by:
Date:
[FORM MJ 18-4202] mj_opt_whl_medreg (rev 20190208) Page 1 of 1
OREGON LIQUOR CONTROL COMMISSION
Supplemental Form:
Wholesaler Medical Purposes Registration
What is this form?
A recreational marijuana wholesaler may register with the OLCC for the sale of marijuana for medical purposes. This
allows the wholesaler to purchase medical-grade cannabinoid products from wholesalers and processors who are
registered to sell marijuana for medical purposes; and allows the wholesaler to sell medical-grade cannabinoid products to
other wholesalers, processors, and retailers who are registered to sell medical-grade cannabinoid products.
Section 1 – Wholesaler Information
Application/License ID:
Applicant/Licensee Name:
Contact Name:
Contact Phone:
Contact Email:
Section 2 – Acknowledgement
A registered wholesaler may purchase and distribute cannabinoid products with higher concentrations of THC as
described in OAR 333-007-0220 if these items are purchased from another wholesaler or processor registered to sell
marijuana for medical purposes.
A registered wholesaler may not purchase medical marijuana items from a medical marijuana grower, processing site,
dispensary, caregiver, or patient. All marijuana items obtained by any OLCC licensed recreational marijuana wholesaler
must be obtained only from other OLCC recreational marijuana licensees.
A registered wholesaler may not sell medical-grade cannabinoid products to anyone other than a licensed OLCC
recreational wholesaler, processor, or retailer that is registered with the OLCC to sell marijuana for medical purposes.
A registered wholesaler must separate medical-grade cannabinoid products and must separately package and label
those items subject to the packaging and labeling requirements and must clearly identify those items as medical-grade.
I WISH TO REGISTER TO SELL MARIJUANA FOR MEDICAL PURPOSES. I acknowledge that I
have read OAR 845-025-3600, including the requirements summarized above.
Signature:
Date:
Name:
Title:
OLCC USE ONLY
Registration approved by:
Date:
[FORM MJ 18-4202] mj_opt_whl_medreg (rev 20190208) Page 1 of 1