Get 1000500pass Form

The 1000500pass Form is an essential application for laboratories seeking approval to handle, test, or analyze medical cannabis in Illinois. This guide will walk you through the steps necessary to complete this form online in a clear and comprehensive manner.

Follow the steps to fill out the 1000500pass Form online

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your laboratory's name in the designated field. Ensure that this is the official name of your laboratory, as it will be used for identification purposes.
3. Input your laboratory’s telephone number, ensuring that it includes the area code.
4. Provide your complete mailing address, including the street and/or P.O. Box, city, state, and zip code.
5. Specify the location of your laboratory by entering the street address, city, state, and zip code where the testing will occur.
6. In the first attestation section, include the name of the independent organization that has validated your methods to ISO 17025 standards, along with their street address, city, state, zip, phone number, and email address.
7. On the second attestation, confirm that your laboratory is independent from all entities involved in the cannabis industry and provide any necessary details if required.
8. For the third attestation, share information about the overseeing employee by providing their name, phone number, degree, accredited college or university, and details of their laboratory experience.
9. Attach a list of all analytical methods that have been validated, along with a copy of the most recent annual inspection report.
10. Confirm that you have read and understood Section 1000.510 of the Department’s rules and provide your signature, title, and the date.
11. Fill out the notary section with the date and sign in front of a notary public to finalize the form.
12. Once all fields are completed, review the information for accuracy. You can then save changes, download, print, or share the completed form as needed.

Complete your 1000500pass Form online today and ensure compliance with Illinois regulations.