Get Dcp Mmp Ct

Filling out the Dcp Mmp Ct form online is a straightforward process that allows you to efficiently update your personal information with the Medical Marijuana Program. This guide provides clear instructions to help you navigate the form, ensuring you complete it accurately and promptly.

Follow the steps to fill out the form correctly.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with Section A: Patient Information. Enter your last name, first name, date of birth, and the patient or caregiver ID number found on your card. Ensure all information matches the records on file.
3. Proceed to Section B: Change Request. Check all applicable changes, such as name, address, or contact information. For each selected option, complete the corresponding section of the form.
4. If changing your name, fill out Section C: Change of Name. Provide your new last name, first name, and middle initial. Additionally, include a certified document to support your name change in the provided space.
5. For address changes, move to Section D: Change of Address. Enter your old address and your new address details. Include city, state, and ZIP code for both old and new addresses. Remember to submit two documents supporting your new address as specified in the instructions.
6. In Section E: Change of Phone Number or E-Mail Address, list your prior and new phone number and email address. Make sure to double-check for accuracy.
7. After completing all relevant sections, review the form for accuracy. Ensure that you have signed and dated the form.
8. Finally, submit the form along with any supporting documentation or fees to the Department of Consumer Protection. You can do this via mail, e-mail, or fax as per the contact details provided.

Start completing your forms online today for a more efficient process.