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Rules Waiver Request Form

Will the waiver of this requirement pose a risk to the health or safety of consumers or the public?
By checking this box, I am attesting that I am an owner, principal, employee of the cannabis establishment authorized to submit a rules waiver request, or an authorized representative of the cannabis establishment.

I affirm that all of the information is true and accurate, and I understand that compliance with all of the CCB's rules is required unless and until a waiver request is granted.