MCA Supplemental Application Form Details

Pursuant to Code of Maryland Regulations (COMAR) 14.17.05.04, each conditional licensee must complete a supplemental license application. A conditional licensee may not be considered for final licensing until a supplemental license application has been submitted by the conditional licensee and the MCA determines that the supplemental license application is complete and the conditional licensee meets all requirements for licensing codified in Title 36 of the Alcoholic Beverages and Cannabis Article, and COMAR 14.17.

1 This form is an official document of the Maryland Cannabis Administration. It may not be altered or changed, except to insert the information that is required. Any alteration or change to this document or required templates may cause this application or your license to be delayed or denied.

2 A Maryland Cannabis License is a privilege. The burden of proving an applicant’s qualifications to receive and hold a license is at all times on the Applicant. The Applicant accepts any and all risk of adverse public notice, criticism, emotional distress or financial loss that may result from any action with respect to this application. The Applicant expressly waives any and all claims for damages as a result thereof. Information not called for in this form or in addition to that which is provided in response to this form may be requested. The Applicant shall provide all information, documents, materials, and certifications at the Applicant’s expense.

3 You shall make accurate statements and your application shall be complete in every material detail. The Administration may deny an application that contains a misstatement, omission, misrepresentation, or untruth. Any misrepresentation, failure to provide any requested information, or failure to meet any other requirement as set out in law or regulation may result in the denial of the application and may subject you to civil and/or criminal penalties. The Administration may request any additional information the Administration determines is necessary to process and fully investigate an application.

4 The Applicant is responsible for the payment of all fees required under the law and regulations. The applicant will not be issued a final license without the completed payment of relevant fees.

5 The Applicant is under a continuing duty to promptly disclose any changes in the information provided in the application, as well as all changes to any of the materials submitted at the request of the Administration. The duty to make such additional disclosures shall continue throughout any period of the license that is granted by the Administration.

6 The Applicant shall promptly provide written notification to the Administration of any corrections or changes to this application once submitted or to any of the materials submitted at the request of the Administration.

7 All notices regarding the application will be sent to the email address or primary contact provided by the Applicant on this form. The Applicant must immediately notify the Administration of any change of email address or primary contact.

8 Submission of an Application gives the Administration consent to conduct all inspections necessary to ensure compliance with State law and regulations. The Administration may conduct announced and unannounced inspections of the facilities of a licensee to determine compliance with statute and regulations.

9 Failure of an Applicant/Applicant’s representative to provide the Administration with immediate access to any part of the premises, requested material, information, or agent as part of an inspection may result in the imposition of a civil fine, suspension of license, or revocation of license.

10 All submissions with and for this application become the property of the Administration and will not be returned.

11 Once the application has been submitted to the Administration, the Applicant may not withdraw its application without permission of the Administration.

12 Applicants must use the following file naming structure when submitting electronic documents. Applicant Name – Submission Date – File Type. For example, Jane Doe – 04252020 – Supplemental Application.

13 A completed application must be submitted to the Maryland Cannabis Administration in a manner prescribed by the Administration. The application shall be submitted to the Administration in its entirety. No partial submissions of the application will be accepted. 

14 The Applicant must provide all accompanying documentation, attachments, appendices and/or supporting documents, (such as business formation papers and tax returns) in a .pdf format or manner prescribed by the MCA in this form. 

15 All questions concerning the Supplemental Application or process shall be forwarded to the Administration by email only at reporting.mca@maryland.gov or the assigned Administration inspector.

16 The Administration may suspend, fine, restrict, or revoke a cannabis license if it is determined that a cannabis licensee has not complied with statements in the application, including statements about standards of operation or employment practices related to diversity, equity and inclusion.

Please review the instructions below, they apply to any Applicant seeking a cannabis business license.