Facility Alteration Request Pennsylvania Health
This form is essential for medical marijuana organizations looking to alter their permitted facilities in Pennsylvania. It outlines the approval process while specifying required documentation and fees. Organizations must follow the outlined guidelines to ensure compliance with Pennsylvania health regulations.
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How do I fill this out?
Begin by gathering all required documents to support your request. Ensure that each document adheres to the specified naming conventions. Finally, complete and submit the form along with the necessary fee and documentation.
How to fill out the Facility Alteration Request Pennsylvania Health?
1
Gather your documents and required information.
2
Fill out the form with accurate details.
3
Save all documents in the correct PDF format.
4
Submit the form via email or by mail on a USB drive.
5
Confirm that your application is signed and dated.
Who needs the Facility Alteration Request Pennsylvania Health?
1
Medical marijuana organizations needing to remodel their facilities.
2
Permitted dispensaries requiring space adjustments.
3
Grower/processors looking to expand operations.
4
Business owners updating their permit information.
5
Facility managers responsible for compliance measures.
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What are the instructions for submitting this form?
To submit the Facility Alteration Request form, ensure all documents are correctly filled out and saved as PDFs. Send your complete package via email to RA-DHMMRCompliance@pa.gov or mail it on a USB drive to: Bureau of Medical Marijuana - Request Form, Department of Health, Room 628 Health and Welfare Building, 625 Forster Street, Harrisburg, PA 17120. Include a certified check or money order for the application fee of $250, and ensure that everything is signed and dated before submission.
What are the important dates for this form in 2024 and 2025?
The Facility Alteration Request form must be completed and submitted throughout 2024, especially for alterations planned as early as mid-2024. Organizations must take note of relevant deadlines to ensure their operations remain compliant. Refer to the Pennsylvania Department of Health for updates related to submission dates.
What is the purpose of this form?
The purpose of the Facility Alteration Request form is to ensure that medical marijuana organizations in Pennsylvania maintain compliance with state regulations when making changes to their facilities. This form serves as a formal request for approval of any alterations that could impact operations, security, or public access. By submitting detailed documentation and fees, organizations assure that all modifications align with health and safety standards.
Tell me about this form and its components and fields line-by-line.
- 1. Application Section: Details the changes needed for the applicant's name, address, and contact information.
- 2. Facility Location: Indicates the existing facility location authorized by the permit.
- 3. Principals and Employees: Lists any new principals, financial backers, or employees since permit issuance.
- 4. Operational Timetable: Outlines the timeline for the proposed alterations.
- 5. Security Procedures: Describes security and surveillance measures that will be implemented post-alteration.
What happens if I fail to submit this form?
Failing to submit the Facility Alteration Request form can lead to penalties including fines and delays in operational modifications. Non-compliance may result in the revocation of existing permits or the inability to carry out planned alterations. It is essential for organizations to ensure all required documentation is submitted timely.
- Non-Compliance Penalties: Incur fines or face legal repercussions for failing to follow state regulations.
- Delayed Operations: Inability to carry out important facility modifications could impact service delivery.
- Permit Revocation: Risk of losing your operational permit if alterations are made without approval.
How do I know when to use this form?
- 1. Facility Expansion: Use this form to request approval for expanding facility space.
- 2. Security Upgrades: Submit the form when enhancing or changing security measures.
- 3. Renovations: Required for any renovations that alter the layout or design of the facility.
- 4. Access Modifications: When changing entryways or pathways, the form must be submitted.
- 5. Compliance Updates: Used for keeping documentation current with the Department of Health.
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