Illinois Department of Financial and Professional Regulation Division of Professional Regulation Medical Cannabis UnitFINGERPRINT CONSENT FORM Pursuant to the Compassionate Use of Medical Cannabis.
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How to fill out the IL IL486-2226 online
Filling out the IL IL486-2226 Fingerprint Consent Form is an essential step for applicants seeking to participate in the Medical Cannabis Dispensing Organization Program in Illinois. This guide provides a clear, step-by-step approach to assist you in completing the form accurately and efficiently online.
Follow the steps to successfully complete the IL IL486-2226 form online.
- Click the ‘Get Form’ button to obtain the form and open it in your browser or selected device.
- Enter your full name in the designated field, as it appears on your identification.
- Provide your Social Security Number (SSN) in the next field.
- If applicable, include your maiden name or given surname in the specified section.
- Fill in your date of birth in the format mm/dd/yyyy.
- Select your gender from the options provided.
- Indicate your race in the relevant field.
- Write your phone number so that the contact can reach you if necessary.
- Input your driver's license or state ID number.
- Specify the issuing state of your driver's license or ID.
- If you have a dispensary's registry ID number, please enter it in the provided field.
- For the Live Scan vendor information, input the name and address of the vendor you will be using.
- Provide the phone number for the Live Scan fingerprint vendor.
- Fill in your appointment date and time for the Live Scan fingerprinting.
- Finally, read the privacy statement and, by signing, consent to the release of your criminal history record information, confirming that all information is accurate and complete.
Begin your application process by completing your IL IL486-2226 form online today.
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