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 or a U.S. passport card; 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;

b. If the applicant's fingerprints and information required in subsection (4)(a) were submitted to the Department as part of an application for a designated caregiver registry identification card, dispensary agent registry identification card, or laboratory agent registry identification card, within the previous six months, the registry identification number on the registry identification card issued to the applicant as a result of the application; or

b.c. 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. Amended by exempt rulemaking at 29 A.A.R. 2453, effective 10/1/2023.