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(Arizona) Medical Marijuana Fingerprint Verification Form Mobile App

The (Arizona) Medical Marijuana Fingerprint Verification Form mobile app is to be completed by the fingerprint technician taking your fingerprints to submit as part of the Arizona Medical Marijuana Dispensary Agent, Designated Caregiver, or Minor Caregiver (Custodial Parent/Legal Guardian) application. A Field Mask is used to require the user to input text data in a specific format.

  • Lendlease
  • The Cooperative
  • PG&E
  • oxy
  • Red Bull
  • Mirvac

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Take a peek inside the (Arizona) Medical Marijuana Fingerprint Verification Form Mobile App

Included Features

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Included Fields

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    Medical Marijuana Program

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    Fingerprint Verification Form

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    This form is to be completed by the fingerprint technician taking your fingerprints to submit as ...

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    Attention Fingerprint Technician

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    Please follow the instructions below for fingerprinting this applicant:

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    Please fill out or ensure that the applicant has filled out all of the required boxes on the fin...

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    Request a valid, unexpired government-issued photo ID from the applicant and compare the physica...

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    Fill out the information in the boxes below.

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    4. Once the prints have been taken:

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    • Place the fingerprint cards and copy of this form into the envelope and seal it.

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    • Please sign your name across the edge of the seal.

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    • Return the sealed envelope to the applicant.

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    *Do not give the applicant the fingerprint card without first sealing it inside the envelope and ...

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    First and Last Name of Applicant

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    Date

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    Type of Photo ID provided (check one)

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    Driver’s License/MVD

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    Issued State ID #

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    Passport

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    Passport #

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    Other

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    Other (please specify)

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    Fingerprint Technician Signature:

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    Fingerprint Technician Name:

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    Fingerprint Technician Agency/Company Name and Title:

  • ...and More!

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