Non-Profit Medical Marijuana Dispensary Agents are principal officers, board members, employees, or volunteers of a nonprofit medical marijuana dispensary. Everyone must have a Dispensary Agent Registration Card to volunteer or work at a licensed dispensary. Only principal officers and board members with authorization can apply for a card. Volunteers and employees must have the dispensary entity apply on their behalf.

• Registration and Application Instructions Checklist
• Dispensary Agent Registration and Application
• Fingerprint Verification Form
  • Fingerprinting Instructions

Attestation Forms

Below you will find Attestation forms that will need to be completed and submitted when applying for a Dispensary Agent registry identification card. The Attestations verify that the information being submitted is true, and the person submitting it is confirming this by signing the form below.

• Dispensary Agent/Member Attestation Form

DA CARD RESTRICTIONS

Please see Arizona Revised Statutes (A.R.S.) § 36-2801. Definitions, subsection 7 for the definition of an Excluded Felony Offense. The Department cannot provide you with legal advice in regards to your criminal record and your ability to obtain and maintain a dispensary agent card. Please seek your own legal counsel in regards to this question.