OAR 333-008-0020: New Registry Identification Card Application Process

(1) To apply for a registry identification card an individual must submit the following: (a) An application form, prescribed by the Oregon Health Authority (Authority), signed and dated by the applicant. (b) A legible copy of the individual’s valid and current government issued photographic identification that includes the applicant’s last name, first name, and date of birth. In lieu of photographic identification, the Authority may in its discretion accept valid and current government issued identification that includes the applicant’s last name, first name, and date of birth from applicants under the age 18 or who have demonstrated barriers to accessing services to obtain a photographic identification. The Authority may request additional documentation to authenticate the non-photographic identification. (c) An attending provider statement (APS) or written documentation that may consist of relevant portions of the applicant's medical record, signed by the applicant's attending provider within 90 days of the date of receipt by the Authority, which describes the applicant's debilitating medical condition and states that the use of marijuana may mitigate the symptoms or effects of the applicant's debilitating medical condition. (d) Proof of residency in accordance with OAR 333-008-0022. (e) If applicable, a completed and notarized "Declaration of Person Responsible for Minor" form for a person under 18 years of age, signed and dated by the minor’s parent or legal guardian. (f) An application fee as specified in OAR 333-008-0021. (g) If applicable, documentation required in OAR 333-008-0021 to qualify for a reduced fee. (2) If the applicant is designating a primary caregiver, the applicant must complete the caregiver portion of the application and submit a legible copy of the designated primary caregiver’s valid government issued photographic identification that includes the caregiver’s last name, first name, and date of birth. (3) The applicant may also designate an organization or facility caregiver in addition to a designated primary caregiver. To designate an organization or facility caregiver the applicant must submit a completed application on a form provided by the Authority available at www.healthoregon.org/ommp. The application must be submitted to OHA/OMMP PO Box 14450, Portland, OR 97293-0450, and contain at least the following: (a) The organization or facility’s name, license number and the name of the state agency that licenses the organization or facility; (b) An attestation signed by an individual who has legal authority to act on behalf of the organization or facility that the organization or facility agrees to the designation; (c) The name, title, and phone number of the individual signing the attestation; and (d) The name, title, and phone number of the individual, if different from the individual signing the attestation, who is authorized to purchase or transport marijuana on the patient’s behalf. An individual who is authorized to purchase or transport marijuana on the patient’s behalf must be 18 years of age or older and must submit a legible copy of the individual’s valid government issued photographic identification that includes the last name, first name, and date of birth. (4) If an applicant intends to produce marijuana for themself or designate another person to produce marijuana for them, the applicant or the individual designated to be the person responsible for a marijuana grow site (PRMG) must complete the grow site registration portion of the application and submit to the Authority: (a) A legible copy of the designated PRMG’s valid government issued photographic identification that includes the last name, first name, and date of birth. (b) Information to establish the grow site address. If a grow site has a United States Postal Service (USPS) physical address, that address must be included in the application. If there is no USPS physical address, a grow site address may also be established by providing documentation of: (A) An assessor’s map number with a map showing the exact location of the grow site; (B) The name of the city, or if outside of a city, the name of the county in which the grow site is located; (C) The zip code for the location; and (D) One or more of the following for the location: (i) Longitude and latitude coordinates; (ii) Township coordinates; (iii) Global positioning system coordinates; or (iv) The tax lot number. (c) Information to establish the entirety of the physical location that corresponds to the grow site in accordance with OAR 333-008-0025, that may include but is not limited to the information listed in subsection (4)(b) of this rule. (d) If the grow site is within city limits, documentation that shows the zoning designation for the grow site address. (e) Grow site consent. (A) If the applicant or PRMG is the owner of the premises of the grow site to be registered, submit to the Authority with the application a statement accurately identifying the legal address and owner of the premises or the property owner’s legal representative. (B) If the applicant or PRMG is not the owner of the premises of the grow site to be registered, the applicant or PRMG shall obtain a consent form prescribed by the Authority identifying the legal address and owner of the premises. The consent form must confirm ownership of the premises and the owner’s consent to the applicant or PRMG’s use of the location for the purpose of a medical marijuana grow site for at least one annual registration and must be signed by the owner of the premises, witnessed by a notary public. This requirement must be satisfied by using the form designed and published by the Authority on its website. (C) A grow site consent form received by the Authority as outlined in paragraph (A) or (B) of this subsection is only valid for the grower or growers named on the consent form and must not have been terminated prior to its receipt by the Authority. (D) For purposes of this rule “premises” means the entirety of the physical location that corresponds to the grow site. (f) Except for a patient producing marijuana for themself at the patient’s residence, the grow site registration fee as specified in OAR 333-008-0021(4), by check and mailed or paid online as outlined in OAR 333-008-0021(7). (5) Applications must be mailed to the address listed in section (6) of this rule, hand-delivered to the OMMP dropbox at 800 N.E. Oregon St., Portland, Oregon 97232, or submitted electronically through the Authority’s electronic application system available at https://ommpsystem.oregon.gov/ along with accompanying documentation. (6) The application forms referenced in this rule may be downloaded at www.healthoregon.org/ommp or obtained by contacting OMMP at PO Box 14450, Portland, OR 97293-0450 or by calling 971-673-1234. (7) Acceptable forms of current government issued photographic identification include but are not limited to: (a) Driver's license; (b) State identification card; (c) Passport; or (d) Military identification card.