Marijuana Forms

Change of Ownership, Point of Contact & Location

Point of Contact change

The Point of Contact is authorized to receive information regarding an establishment.
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Transfer of Interest Form (Change of Ownership) - Fillable

When a change to the ownership of an establishment is proposed, this form must be completed and submitted to the Department for approval prior to the transfer.
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Wholesale Marijuana Tax Return

An excise tax on the first wholesale sale of marijuana by a cultivator. The rate is 15%, calculated on Fair Market Value, as determined by the Department. The tax return is due monthly and the tax imposed on the cultivator making the sale.

Wholesale Marijuana Tax Return (July 1, 2018 - December 31, 2018)

Use this return to report sales from July 1, 2018 through December 31, 2018
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Wholesale Marijuana Tax Return (January 1, 2018 - June 30, 2018)

Use this return to report sales from January 2018 through June 30, 2018
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Wholesale Marijuana Tax Return (July 1, 2017 - December 31, 2017)

Use this return to report sales from July 1, 2017 through December 31, 2017
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Fair Market Value at Wholesale

• NRS 453D requires the Department to determine the Fair Market Value at Wholesale of retail marijuana. Pursuant to permanent regulation LCB File No. R092-17, Fair Market Value is defined as the value established by the Nevada Department of Taxation (Department) based on the price that a buyer would pay to a seller in an arm’s length transaction for marijuana in the wholesale market.

Retail Marijuana Tax Return

Retail Marijuana Tax Return

An excise tax on the sale of marijuana to a customer for adult use, and not to a patient cardholder. The rate is 10%, calculated on the sale price (not including regular sales tax). The tax return is due monthly and must be filed by the retailer.
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Medical Marijuana Tax Return

Medical Marijuana Tax Return

ONLY FOR MEDICAL MARIJUANA SALES PRIOR TO JULY 1, 2017. An excise tax on the wholesale and retail sale of Medical Use Marijuana and Marijuana Products. The rate is 2% of the sales price every time it is sold regardless if sold for wholesale or retail. The tax return is due monthly and is imposed on the person making the sale.
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Other Marijuana Forms

Work in Nevada's Marijuana Industry

Those who are interested in working in Nevada's marijuana industry can create an account and manage their applications on-line for the fastest processing time.
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Marijuana Establishment Agent Card Application and Checklist

This is the paper document and may take longer to process than applications processed through the agent portal
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Advertising & Packaging Request

Use this form to submit your proposed or revised marijuana advertising or packaging artwork to the Department. The Department will evaluate the advertising to ensure it is in compliance with advertising guidelines. The Department has final say on approvals and denials for the names, logos, signs, website, radio and television ads, advertisements, and packaging.
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Marijuana Certificate/Licensee Incident Report

A marijuana establishment must document and report any burglary/theft/robbery, vandalism, suspicious activity, or any other type of incident that occurred at the marijuana establishment to the appropriate law enforcement agency and to the Department within 24 hours. This Certificate/Licensee Incident Report must be submitted to the Department with the establishment's internal incident report. The establishment shall provide copies of any documentation requested by the Department and maintain the documents for at least 5 years after the date of documentation. If loss or theft of marijuana or marijuana product occurs during transportation, the establishment must report it to a person designated by the marijuana distributor to receive such reports immediately after the marijuana establishment agent becomes aware of the loss or theft. A marijuana distributor that receives a report of loss or theft must report it to the appropriate law enforcement agency and to the Department within 24 hours.
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Marijuana Distributor Temporary Storage Notice

Distributors must use this form to report to the Department when they experiences an extraordinary circumstance beyond the control of a marijuana establishment's management or ownership that makes it necessary for the distributor to temporarily store product in their storage area. The distributor must use this form to describe the unusual or extreme facts of the situation that necessitate temporary storage. Temporary storage at the distributor's establishment may not exceed 3 days without written consent from the Department. If the product is removed from the vehicle for storage, the inventory shall be verified following off-load and prior to on-load.
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Complaint Form

Use this form to electronically file a complaint against a marijuana establishment for violations of NRS 453A/453D and NAC 453A/453D.
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