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As of April 1, 2014, the way Canadians access marijuana when authorized by a healthcare practitioner changes. The new Marihuana for Medical Purposes Regulations (MMPR) provide for access while protecting public safety.
On or By March 31, 2014:
As of April 1, 2014
You are required to notify Health Canada that you no longer possess marijuana obtained under the MMAR, and if applicable, have discontinued production and have destroyed your marijuana. You are also required to confirm the amount of marijuana and number of plants destroyed, if any.
The Notification Form below is intended to help you comply with these requirements. Please complete all sections and send to Health Canada by April 30, 2014.
Completed forms can be submitted to Health Canada by facsimile to 613-952-2196, by email to email@example.com, or by mail to:
Address Locator: 0302B
Ottawa, ON K1A 0K9
Please note that if you do not comply with this requirement to send a notice to Health Canada by April 30, 2014, the Department will take compliance and enforcement action. This includes informing law enforcement of your failure to notify Health Canada as required under section 259.3 of the MMPR. In addition, the Department will continue to cooperate with police, and provide information needed to protect public safety, as appropriate.
For more information, please refer to the Frequently Asked Questions.
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(Obligation under section 259.3 of the Marihuana for Medical Purposes Regulations)
Please complete all sections and send to Health Canada by April 30th, 2014
You may return the form by:
Email: firstname.lastname@example.org; or
Mail: Health Canada
Address Locator: 0302B
Ottawa, ON K1A 0K9
Please indicate the type(s) of Authorization / Licence(s) you were issued and are notifying Health Canada about:
Name of Authorization/Licence Holder:
Date of Birth:
Day / Month / Year
Authorization to Possess Number (If applicable):
If this notice relates to one or more DPPLs, please indicate below the name(s) of the person(s) who holds or held the authorization to possess on the basis of which your DPPL was issued:
Did you destroy dried marijuana/seeds?
If yes, please indicate the amount of dried marijuana destroyed (in grams).
Amount of dried marijuana/seeds (in grams)
Did you destroy marijuana plants?
If yes, please indicate the number of marijuana plants destroyed.
Number of marijuana plants destroyed
You must destroy all marijuana by March 31, 2014. Please check all of the statements below for the authorization or licence(s) you were issued:
I, the undersigned, attest that the information provided in this form is correct and complete.
Signature of Licence/Authorization Holder
Collection and use of personal information in this attestation is in accordance with the federal Privacy Act. The personal information you provide is collected under the authority of section 259.3 of the Marihuana for Medical Purposes Regulations for the purpose of assessing compliance with the obligation to 1) destroy marijuana obtained under the MMAR and 2) notify Health Canada of the required information. This collection of personal information is described in Info Source under the Personal Information Bank (PIB) PPU 073. Personal information may be disclosed to law enforcement agencies for compliance and enforcement purposes. In some cases, information may also be disclosed without your consent for purposes not outlined in this Privacy Notice, pursuant to subsection 8(2) of the Privacy Act.
The Privacy Act gives you the rights of access to, correction of and protection of your personal information. For further information about this Privacy Notice please contact Health Canada's Access to Information and Privacy Coordinator. A list of all ATIP Coordinators across the federal government is available at http://www.tbs-sct.gc.ca/atip-aiprp/apps/coords/index-eng.asp.