Form MJ16-2201 "Supplemental Form: Producer Inventory Transfer Request" - Oregon

What Is Form MJ16-2201?

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 May 3, 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 MJ16-2201 by clicking the link below or browse more documents and templates provided by the Oregon Liquor Control Commission.

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Download Form MJ16-2201 "Supplemental Form: Producer Inventory Transfer Request" - Oregon

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Producer Inventory Transfer Request
Form Instructions
What is this form?
Use this form to request a transfer of medical marijuana inventory for a registered grow site that is also the proposed
premises of a recreational marijuana Producer license application. The OLCC will verify the submitted information with the
Oregon Health Authority.
Who may use this form?
A person responsible for a marijuana grow site (PRMG) who is also an applicant for a Recreational Marijuana Producer
license may use this form to request approval to keep marijuana items on the proposed premises and transfer them into
the inventory of the Producer license, once approved. A PRMG who is not an applicant may not request this transfer.
What if I don’t have a formal agreement with my patient?
A personal agreement with each patient is required to transfer PRMG inventory to the OLCC license. If you do not have
an existing personal agreement, you may use form MJ 16-2202 Personal Inventory Transfer Agreement.
How much marijuana can be transferred?
All transfers must follow the limits as set forth in ORS 475B.831 and 475B.834 and applicable rules adopted thereunder
by the Oregon Health Authority. This means that the quantities that can be transferred are limited by the number of
patients as follows:
Marijuana item type
Maximum transferrable
Seeds
No limit
12 immature plants that are 24 inches or more in height per patient, up to
the limits allowed under ORS 475B.831*
Immature plants
36 immature plants that are less than 24 inches in height per patient, up to
the limits allowed under ORS 475B.831*
Mature plants
6 plants per patient, up to the limits allowed under ORS 475B.831*
6 pounds per mature plant allowed per patient for plants grown indoors
Usable marijuana
12 pounds per mature plant allowed per patient for plants grown outdoors
*Since the 2017 Oregon Revised Statues were published, this statute has been amended by Section 6, chapter 103, Oregon Laws 2018 (2018 Senate Bill 1544)
What about transferring immature plants from other sources?
A Producer who submitted their application on or before July 1, 2018 may receive immature plants or seeds from any
source within Oregon during the first 90 days after their license is issued. If that source includes marijuana items
belonging to patients for whom the PRMG is growing marijuana, those items must be released by the patient through a
personal agreement. Any immature plants and seeds received this way must be recorded in CTS within 24 hours of the
plants or seeds arriving on the premises.
A Producer who submitted their application after July 1, 2018 may not receive immature plants or seeds from anyone
other than an OLCC licensee via a licensed transfer in CTS.
Producer Inventory Transfer Request Instructions
Revised 20190503
Producer Inventory Transfer Request
Form Instructions
What is this form?
Use this form to request a transfer of medical marijuana inventory for a registered grow site that is also the proposed
premises of a recreational marijuana Producer license application. The OLCC will verify the submitted information with the
Oregon Health Authority.
Who may use this form?
A person responsible for a marijuana grow site (PRMG) who is also an applicant for a Recreational Marijuana Producer
license may use this form to request approval to keep marijuana items on the proposed premises and transfer them into
the inventory of the Producer license, once approved. A PRMG who is not an applicant may not request this transfer.
What if I don’t have a formal agreement with my patient?
A personal agreement with each patient is required to transfer PRMG inventory to the OLCC license. If you do not have
an existing personal agreement, you may use form MJ 16-2202 Personal Inventory Transfer Agreement.
How much marijuana can be transferred?
All transfers must follow the limits as set forth in ORS 475B.831 and 475B.834 and applicable rules adopted thereunder
by the Oregon Health Authority. This means that the quantities that can be transferred are limited by the number of
patients as follows:
Marijuana item type
Maximum transferrable
Seeds
No limit
12 immature plants that are 24 inches or more in height per patient, up to
the limits allowed under ORS 475B.831*
Immature plants
36 immature plants that are less than 24 inches in height per patient, up to
the limits allowed under ORS 475B.831*
Mature plants
6 plants per patient, up to the limits allowed under ORS 475B.831*
6 pounds per mature plant allowed per patient for plants grown indoors
Usable marijuana
12 pounds per mature plant allowed per patient for plants grown outdoors
*Since the 2017 Oregon Revised Statues were published, this statute has been amended by Section 6, chapter 103, Oregon Laws 2018 (2018 Senate Bill 1544)
What about transferring immature plants from other sources?
A Producer who submitted their application on or before July 1, 2018 may receive immature plants or seeds from any
source within Oregon during the first 90 days after their license is issued. If that source includes marijuana items
belonging to patients for whom the PRMG is growing marijuana, those items must be released by the patient through a
personal agreement. Any immature plants and seeds received this way must be recorded in CTS within 24 hours of the
plants or seeds arriving on the premises.
A Producer who submitted their application after July 1, 2018 may not receive immature plants or seeds from anyone
other than an OLCC licensee via a licensed transfer in CTS.
Producer Inventory Transfer Request Instructions
Revised 20190503
OREGON LIQUOR CONTROL COMMISSION
Supplemental Form:
Producer Inventory Transfer Request
Section 1 – Business Information
Enter information for the business seeking to be licensed, as identified on the license application.
OLCC USE ONLY
Application ID:
OHA Transfer Approved
Business Name:
Full Approval
Primary Contact:
Partial Approval
Contact Email:
OHA Transfer Denied
Premises Address:
OLCC Representative
Initial
Date
City:
ZIP:
Section 2 –Transfer Quantities
This section collects information on the patients for whom the PRGM listed in Section 3 is producing marijuana. Do not
include patients from other PRGMs. Do not include grow sites other than the premises listed in Section 1.
List the patients who have entered into a personal agreement to authorize the transfer of marijuana items to the OLCC
license. For each patient who has authorized a transfer, you must also attach a copy of the agreement and clearly
indicate on that agreement how much of each type of product may be transferred to the OLCC license.
Record the amount requested to be transferred for each patient below.
For seeds and usable marijuana, indicate the unit of measurement, e.g.: oz, lbs
Immature
Immature
Date of
Plants
Plants
Mature
Usable
Agreement
Birth
24 inches or
Less than 24
Patient Card #
Seeds
Plants
Marijuana
attached?
more in height
inches in height
(MM/DD/YYYY)
[FORM MJ 16-2201] mj_opt_pro_inventory_transfer (rev 20190503) Page 1 of 2
OREGON LIQUOR CONTROL COMMISSION
Supplemental Form:
Producer Inventory Transfer Request
Section 3 – PRMG Information
PRMG Name:
last name
first name
middle initial
Date of Birth
:
(MM/DD/YYYY)
Grower Card #(s):
A PRMG may have a different
Phone Number:
grower card # for each patient.
Email:
Mailing Address:
City:
State:
ZIP:
Section 4
PRMG Disclosure
OAR 845-025-2100 requires that this request includes information for each PRMG registered at the grow address that is
the proposed premises to be licensed. This includes additional PRMGs who are registered at the grow site who are
not applicants for the Producer license or who do not wish to transfer inventory.
The OLCC will verify the submitted information with the Oregon Health Authority. Failure to disclose accurate information
may result in the denial of this request. In addition, an intentional failure to disclose this information may result in the
denial of the license application.
Number of PRMGs registered at the proposed premises
You must select one of the following:
All PRMGs registered at the grow site listed in Section 1 have submitted a separate, individual
form 16-2201 Producer Inventory Transfer Request.
One or more of the PRMGs registered at the grow site listed in Section 1 do not wish to transfer
inventory and/or are not applicants. I have submitted a separate, individual form 16-2201A
PRMG Information Disclosure for each such PRMG.
Section 4
Signature
By signing below, I acknowledge all information presented on this form, I affirm that the information I have
provided is true and complete, and I authorize the Oregon Health Authority to disclose my registration
information to the Oregon Liquor Control Commission:
PRMG Signature:
Date:
[FORM MJ 16-2201] mj_opt_pro_inventory_transfer (rev 20190503) Page 2 of 2
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