B. Voluntary patient application for a registry identification card. A qualifying patient may voluntarily register with the Department to secure a registry identification card for the lawful medical use of marijuana by submitting a completed Department-approved Patient Voluntary Registration Application form with required documentation. There is no fee for a qualifying patient who voluntarily registers with the Department. A criminal history record check in not required prior to issuing a patient a registry identification card. The Department shall issue a registry identification card to a patient who submits a completed application in accordance with 22 M.R.S. §2425 (1) and the application shall include, at a minimum, the following information: 1. Name, address and date of birth of the patient. 2. A copy of the written certification issued by the qualifying patient’s physician for the medical use of marijuana. 3. A copy of the patient’s Maine driver license or other state-issued photographic identification. 4. The patient who elects to cultivate some or all of the maximum allowed amount of marijuana for his or her own medical use must indicate that choice on the application and report the location of the patient’s cultivation area. The application must include the requested information regarding the primary caregiver or dispensary if one is designated to assist the patient. 5. Other information required by the Department. C. Primary caregiver application for a registry identification card. A primary caregiver who is required to register must submit a completed Department-approved Primary Caregiver Application. A primary caregiver who is not required to register may voluntarily register. The application must include the required documentation and the registration fee, for each registry identification card, as applicable, up to a maximum of five registry identification cards. The application shall also include, but is not limited to the following information: 1. Name, address and date of birth of the primary caregiver; 2. A copy of the primary caregiver’s Maine driver’s license, or other Maine-issued photographic identification in compliance with this rule and the statute; 3. Name of the property owner and location of the primary caregiver’s cultivation location; 4. Personal identification number for purpose of filing taxes; and 5. Other information required by the Department.
J. Notification of change in cardholder’s status. The Department must be notified within ten days of a change in status or card information in accordance with the statute and this rule. A cardholder who fails to provide required notification may be subject to fines up to $150 per incident. 1. The patient’s primary caregiver or dispensary must notify the Department of a change in status as a patient’s designee in accordance with reporting requirements specified in this rule and the statute. a. A registered primary caregiver must notify the Department within ten days of a change in patient designation, unless the caregiver has registered with a $1,200 annual fee and a new patient designates the primary caregiver within ten days of the rescinded patient designation. K. Surrender old card or new card voided. The registry identification card with outdated information must be surrendered by returning it to the Department. It must be mailed or delivered to the Department within ten business days of the person’s receipt of the new registry identification card. Failure to timely surrender the superseded card to the Department may result in the Department voiding the newly issued card.