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Questions? Contact Rebecca Jackson, Research & Education Analyst:

rebeccaw.jackson@maryland.gov

849 International Drive, 4th Floor Linthicum, Maryland 21090

Medical Cannabis Academic Research Registration Form

IMPORTANT: As part of the registration process, registrants must submit the required nonrefundable academic research registration fee(s). The fee(s) must be paid in the form of a cashier's check or money order made payable to "Maryland Medical Cannabis Commission" or "MMCC", and must be mailed to: 

Maryland Medical Cannabis Commission 
Attn: Ugo Osoh
849 International Drive, 4th Floor
 Linthicum, MD 21090

Registration Type: (Check all that apply)

PART A: Academic Research Institution Registration

Select the type of Academic Research Institution you are registering:

Select the type of Higher Education Institution:

Principal Business Address

Is the Principal Business Address the same as the Mailing Address?

Mailing Address


Academic Research Protocol Requirements

ACADEMIC RESEARCH PROTOCOL: An academic research institution must submit a written plan for conducting a bona fide research project relating to the health effects, medical uses, properties, or composition of medical cannabis that includes the following information:

       (a) Name, address, date of birth, Social Security Number, institutional affiliation, and qualifications, including a curriculum vitae and list of publications, for the primary researcher;

       (b) Title, expected duration, primary objectives, statement of purpose, and description of the bona fide research project;

       (c) Type and amount of medical cannabis or medical cannabis products, and the dosage, route, and method of administration necessary to conduct the bona fide research project; and

       (d) Standard operating procedures for the safe and secure receipt, storage, packaging, labeling, handling, tracking, and dispensing of products containing medical cannabis and medical cannabis waste.

Click here to upload your Research Protocol (PDF format)

Click Here to Upload

PART B: Academic Research Agent Registration

Academic Research Agent Information:

Up to (3) research agents may be registered with the Commission to purchase medical cannabis product for research purposes. (Please note that there is a $100 fee for each research agent)

How many research agents would you like to register? (3 max)

Please upload a separate PDF document entitled “Academic Research Agents (Cont’d)” and include the Full Names, Addresses, dates of birth (DOB), and Social Security Numbers (SSN) of each of the academic research agents you have listed above.

Click Here to Upload

Criminal History:

Criminal History Record: A prospective academic research agent may not be registered if the prospective academic research agent has ever been convicted of a felony drug offense, except as provided in Health-General Article, §13-3310(d), Annotated Code of Maryland. The Commission, after review of the criminal history record information, may disqualify from registration any prospective academic research agent who has been convicted of or has pleaded nolo contendere to a crime involving moral turpitude, whether or not any appeal or other proceeding is pending to have the conviction or plea set aside.

Please upload the following documentation for each prospective academic research agent:

  • Documentation of the submission of fingerprints to the Central Registry

  • Copy of the request for criminal history record information to be forwarded to the Commission

Click here to upload.

Click Here to Upload

PART C: Renewal for Subsequent or Modified Research Project

This is a request to:

Select the most recent approval date for this research project.

Date Picker

NEW OR MODIFIED ACADEMIC RESEARCH PROTOCOL: An academic research institution must submit a written plan for conducting a bona fide research project relating to the health effects, medical uses, properties, or composition of medical cannabis that includes the following information:

       (a) Name, address, date of birth, Social Security Number, institutional affiliation, and qualifications, including a curriculum vitae and list of publications, for the primary researcher;

       (b) Title, expected duration, primary objectives, statement of purpose, and description of the bona fide research project;

       (c) Type and amount of medical cannabis or medical cannabis products, and the dosage, route, and method of administration necessary to conduct the bona fide research project; and

       (d) Standard operating procedures for the safe and secure receipt, storage, packaging, labeling, handling, tracking, and dispensing of products containing medical cannabis and medical cannabis waste.

Click here to upload New or Modified Research Protocol (PDF format)

Click Here to Upload

PART D: Academic Research Agent Identification Card Replacement

Lost, destroyed, or stolen identification cards must be reported to the Commission within 72 hours. The academic research institution shall report the loss, destruction, or theft of an identification card to the Maryland Medical Cannabis Commission at rebeccaw.jackson@maryland.gov (a copy of the notification to the Commission shall be evidence of registration until a new card is obtained from the Commission.)

Reason for identification card replacement:

Expiration Date

Date Picker

Date card was lost (estimate if necessary)

Date Picker

Date card was stolen (estimate if necessary)

Date Picker

Date card was destroyed (estimate if necessary)

Date Picker

Acknowledgment and Disclosure

Signature of Authorized Representative

Choose how to sign