Get Medical Marijuana Program Fingerprint Verification Form - Azdhs

Completing the Medical Marijuana Program Fingerprint Verification Form is an essential step in the application process for Arizona Medical Marijuana Dispensary Agents, Designated Caregivers, and Minor Caregivers. This guide will walk you through the necessary steps to accurately fill out the form online, ensuring a smooth submission process.

Follow the steps to complete the form online.

1. Click the ‘Get Form’ button to access the Medical Marijuana Program Fingerprint Verification Form and have it open in your preferred online editor.
2. Begin by entering the date in the designated field. This should reflect the date you are filling out the form.
3. Enter the first and last name of the applicant in the provided space. Ensure the spelling is correct as this will be used for identification purposes.
4. Select the type of photo ID provided by the applicant. Check the appropriate box next to either 'Driver’s License/MVD Issued State ID', 'Passport', or 'Other'. If 'Other' is selected, specify the type of ID in the space provided.
5. Provide the relevant details associated with the selected photo ID, such as the state ID number or passport number as applicable.
6. Have the fingerprint technician fill out and clearly print their signature in the provided field to confirm completion of the fingerprinting process.
7. Instruct the fingerprint technician to print their name and the name of their agency or company, along with their title in the indicated fields.
8. Once all information has been entered and verified, ensure the fingerprint cards along with the completed form are placed into an envelope. Seal the envelope with the technician's signature across the edge.
9. After sealing, return the envelope to the applicant for submission as part of their application.

Take the next step by completing the Medical Marijuana Program Fingerprint Verification Form online today.