Medical Marijuana Dispensary Facility Backer

This registration is for any person with a direct or indirect financial interest in a dispensary facility, except it shall not include a person with an investment interest in a dispensary facility provided the interest is held by such person and such person's co-workers, employees, spouse, parent or child, in the aggregate, do not exceed five percent of the total ownership or interest rights in such dispensary facility and such person does not participate directly or indirectly in the control management or operation of the dispensary facility.


  • You must be named as a backer by a Medical Marijuana Dispensary Facility (MMDF) that has been awarded a license by the Department.

Required Documentation:

  • Complete all sections of the online application
  • Applicants should be prepared to provide information/documentation for the following:
    • Personal Information
    • Employment Information
    • Production Facility Information
    • Licenses, Permits and Registrations
    • Legal Proceedings
    • Criminal Actions
    • Photo Identifications (Passport-sized photograph and copy of a valid government- issued ID)
  • The dispensary facility owner must provide this office with documentation confirming your affiliation with the facility.
The Department may request additional information as necessary

Online Application:
To access the online system, please visit .  Click “Register” in the top right corner of the screen to create an account, and validate an active email address. To access the online application, click “New Application” under Activities.

Application Fee:
All fees are non-refundable and non-transferable.
  • Initial Application Fee - $100
  • Annual Renewal Registration - $100

Email Address: