Ariz. Admin. Code § R9-18-201 - Initial Application for a Marijuana Facility Agent License

To apply for a marijuana facility agent license, an applicant who is at least 21 years of age shall submit to the Department in a Department-provided format:

1. The following:

a. The applicant's first name, middle initial if applicable, last name, and suffix if applicable;

b. The applicant's date of birth;

c. The applicant's residence address and Arizona mailing address;

d. The county where the applicant resides;

e. The identifying number on the applicable card or document in subsection (2); and

f. The signature of the individual and the date the individual signed;

2. A copy of the applicant's:

a. Arizona driver's license issued on or after October 1, 1996;

b. Arizona identification card issued on or after October 1, 1996;

c. Arizona registry identification card issued according to 9 A.A.C. 17;

d. Marijuana facility agent license;

e. Photograph page in the applicant's U.S. passport, showing the signature; or

f. Arizona driver's license or identification card issued before October 1, 1996 and one of the following for the applicant:

i. Birth certificate verifying U.S. citizenship,

ii. U.S. Certificate of Naturalization, or

iii. U.S. Certificate of Citizenship;

3. A current photograph of the applicant;

4. For the Department's criminal records check authorized in A.R.S. § 36-2855(B)(2):

a. The applicant's fingerprints on a fingerprint card that includes:

i. The applicant's first name; middle initial, if applicable; and last name;

ii. The applicant's signature;

iii. If different from the applicant, the signature of another individual physically rolling the applicant's fingerprints;

iv. The applicant's address;

v. If applicable, the applicant's surname before marriage and any names previously used by the applicant;

vi. The applicant's date of birth;

vii. The applicant's Social Security number;

viii. The applicant's citizenship status;

ix. The applicant's gender;

x. The applicant's race;

xi. The applicant's height;

xii. The applicant's weight;

xiii. The applicant's hair color;

xiv. The applicant's eye color; and

xv. The applicant's place of birth; or

b. Documentation that the applicant has a valid level I fingerprint clearance card issued according to A.R.S. § 41-1758.07;

5. An attestation that the applicant has not been convicted of an excluded felony offense;

6. An attestation that the information provided in the application is true and correct; and

7. The applicable fee in R9-18-102 for applying for an initial license as a marijuana facility agent.

Notes

Ariz. Admin. Code § R9-18-201

Adopted by final exempt rulemaking at 27 A.A.R. 111, effective 1/15/2021.