Forms

Licensing Forms
Title	Number
Business License Application Form (Center and Infused Product Manufacturer)	DR 8530
Key and Associated Person Application	DR 8520
Appendix A (Optional Premises Cultivation Application)	DR 8544
Bond Form	DR 8524
2013 IRS Tax Information Release Form	IRS 8821
Change of Ownership Form	DR 8535
Supporting Documents Necessary for of Change of Ownership
Change of Ownership or Location Check List
Notice of Change (location, name or premises)/ Duplicate Copy Request Form	DR8545
License Fee Refund Request Form
Key Employee Occupational License Application Complete Prior to Appointment	DR 8526
Registered Vendor Application Complete Prior to Appointment	DR 8533
Support Employee Occupational License Application Complete Prior to Appt.	DR 8525
Caregiver Cultivation Registration Form

Audit Forms
Title/Category	Format	Form Number/Name
Forms Matrix and Instructions	Excel 2003	N/A Matrix
Employee Forms	Excel 2003	1000 Employee List (Tab 1) 1030 Employee Status Change (Tab 2)
Primary Patient Information Forms	Excel 2003	1010 Primary Patient Registration # List (Tab 1) 1040 Primary Patient Status Change (Tab 2)
Transportation Manifest Form	Excel 2003	1020 Transportation Manifest
Secure Facility Form	Word 2003	1050 Secure Facility Form
30% Compliance Forms	Excel 2003	1060 30% Compliance Report (Tab 1) 1010 Primary Patient Registration # List (Tab 2) 1120 Physical Inventory Sheet for MMC (Tab 3) 1070 Monthly Transfers/Sales/Purchase (Tab 4) 1080 Daily Wholesale (Tab 5) 1090 Daily Transfers from OPC (Tab 6) 1100 Daily Patient Sales (Tab 7)

Email addresses for Manifests and Forms are back up and running:
Send Manifest Submissions to DOR_mmedmanifest@state.co.us
Send Forms Submissions to DOR_mmedforms@statec.o.us

PDF versions of all forms may be found in the Forms Packet. If you wish to print a single form from this packet: