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In light of a federal ruling on April 21, 2023, IDFPR has issued an UPDATED statement about Mifepristone in Illinois. See the statement by clicking here.

Forms for Dispensaries and Agents / 15-36 Application Packet

Forms for Dispensary Agents

BLS Region Waiver Request Form

Notice of Proper Zoning Form

Adult Use Dispensing Organization License Surety Bond

Adult Use Dispensing Organization License Escrow Account Agreement

Example of Pre- and Post-Transaction Charts for ownership changes

Tips for First Time Registration to Renew a Professional License

Application for Proposed Principal Officer of an Adult Use Dispensing Organization

Fingerprint Instructions

Adult Use Fingerprint Consent Form

Affidavit of no Subsequent Convictions

Adult Use Dispensary Agent Attestation Form

Petition for Restoration From Discipline

Forms for Dispensary Use

Video Surveillance Failure Report Form

Change of Ownership Guidance for Current License Holders (updated February 8, 2023)

Change of Ownership/Management Service Agreement Authorization Form

Application for Proposed Principal Officer of an Adult Use Dispensing Organization

Adult Use Out-of-State Fingerprint Instructions

Request for Relocation - Form 1

Request for Proposed Building and Site Conditional Approval - Form 2

Request for Inspection of Relocation - Form 3

IDFPR / Biotrack Inventory Adjustment Request Form

Cannabis Control Section/Medical Cannabis Section Contact List

Authorization for Third Party Contact

Medical and Adult Use Cannabis Dispensing Organization Agent Termination Notification Form

15-36 Application Packet

"15-36 License" Application

Exhibit A – Table of Organization and Principal Officer Applications

Exhibit B – Notice of Proper Zoning form and Addenda

Exhibit C – Proposed Floor Plan

Exhibit D – Surety Bond

Exhibit D - Escrow Account

Exhibit E – Material Changes Attestation

Exhibit F – Surety Bond / Escrow Account Waiver Form (Optional)

Application for Extension of Conditional License

Contact Information

Chicago Office
555 West Monroe Street, 5th Floor
Chicago, IL 60661

Springfield Office
320 West Washington Street, 3rd Floor
Springfield, IL 62786

Call Us: 1 (888) 473-4858

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