Skip to form

Report an Incident

Please notify the Maryland Cannabis Administration with concerns you may have about: 

  • An adverse event. This refers to an unwanted medical reaction or health related problem after using a cannabis product. 
  • A cannabis business or product. This may include concerns about unlicensed retailers, incidents at a cannabis business location, product packaging or product safety concerns.

Please fill out this form as completely as possible. Be sure to click submit at the end to record your response. 

Select the type of incident you are reporting:

The Maryland Cannabis Administration is committed to ensuring the safety of medical and adult-use consumers. Visit our website for updated health and safety resources here.

image

Adverse Event Reporting Form

This form is intended for reports about cannabis products from licensed dispensaries in Maryland. A list of licensed dispensaries can be found here.

 

*This form is not a substitute for medical care. Please contact your healthcare provider or certifying provider about medical concerns. For immediate care, go to the nearest emergency room or call the Maryland Poison Center at 800-222-1222.

Contact Information

Full Name

Product Information

Business Address Where Purchased

Date of Purchase

Date Picker

Do you still have the product in case we need to examine it?

Please upload pictures of the product and any other relevant files

Click Here to Upload

Event Information

Who experienced the adverse event?

Date of adverse event

Date Picker

Check all symptoms related to this adverse event

Did the event impact daily activities?

Did the event result in any of the following outcomes? Note: MCA will attempt to follow-up for events selected below due to the reported severity.

What was done in response to the adverse event? Choose all that apply:

Please click "Submit" to record your response 

Cannabis Business or Product Complaint

This form should be used to file a complaint with the Maryland Cannabis Administration about a person, entity or product subject to regulation by the Administration. The complaint can include multiple individuals or entities, as long as they are all related to the same issue. However, please file separate complaint forms for each unrelated issue.

If you wish to inquire about the status of your patient registration, please email 

mca.infoandregistration@maryland.gov​

Contact Information

Full Name

Who is making the complaint?

Are you filing this complaint on someone else's behalf?

Would you like to be contacted regarding this complaint?

Incident Information

Who or what is the complaint about?

Where did the incident occur?

Please upload any relevant files or photos here

Click Here to Upload

Have additional or related complaints been filed about this issue?

Please click "Submit" to record your response