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Application form: variation to a medicinal cannabis licence (type 4) – changes to add site to licence.

Use this form to apply for a type 4 variation to a medicinal cannabis licence under the Narcotic Drugs Act 1967. You can apply to add a site to a licence.

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Application forms

Tips for completing form

When completing this application form keep in mind: 

  • you can choose to fill out the application form in Word or PDF (see under 'downloads' heading below)
  • a relevant signature is required on the application form
  • once completed, please email this application form along with all relevant supporting documentation to the ODC at mcs.application@health.gov.au.

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Apply for a type 4 variation to a medicinal cannabis licence - changes to add site to licence
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