For ATCs - Personal History Disclosure Form/Permitting Request Form

The Department--in consultation with the Attorney General's Office--developed two screening tools designed to create an efficient and effective oversight model for ATCs that are applying to the Department for permits to grow and dispense medicinal marijuana. The Compassionate Use of Medicinal Marijuana Act authorizes the Department to verify the information contained in the application to obtain an ATC permit and to ensure effective documentation of the operations of each ATC prior to the issuance of the permit. In addition, the Department will subsequently monitor, oversee, and investigate all activities concerning each ATC seeking to operate in New Jersey.

The Permitting Request Form and the Personal History Disclosure Form 1 and 2 will be used by the Department to review any changes from the original application, as well as collect and consider relevant information from the ATCs and related entities and conduct background checks of owners, directors, officers and employees of the ATCs.

The forms are available by contacting the Medicinal Marijuana program through the Department of Health.

Please note that neither the Medicinal Marijuana Program nor the Department of Health can address questions about pending or future legislation regarding recreational use of marijuana, as this is not within the Department's purview.