Certificate Of Insurance (COI) – State Registration MMC

(COI) Certificate Of Insurance For Cannabis Consumer Delivery Coverage

Verified Cannabis Consumer Insurance Form For All Cannabis Delivery And Building Coverage

Notice: (COI) Cannabis Consumer Insurance Policy

All customer who purchase cannabis from any dispensary are required to pay a refundable COI fee according to our dispensary policy. This COI fee is required to cover your package during the delivery process incase accident or damage occur. the fee will reflect back to your account once you get your package upon delivery.

Certificate of Insurance

Name

First Name

Last Name

Date Of Birth

Phone Number

Address

City

State/Province

Zip/Postal

Have your ever use cannabis Insurance?

Select an Insurance Type

Refundable Insurance & Paper Work Fee

Payment Method

Upload your state ID or Drivers License Front

Maximum file size: 516MB

Back

Maximum file size: 516MB

Date

Signature

Clear

By checking this box, you give your consent to proceed with the cannabis consumer insurance registration policy.

If you are human, leave this field blank.

HIPAA Compliant

Registration MMC is HIPAA compliant and uses Armor.com’s powerful HIPAA, HI-TRUST solution, learn more at stateregistrationmmc.com.

Nothing to Download

Our cloud based solution can be accessed at anytime by any device and is easy to use for both clinicians and patients.

BAA

Registration MMC has a BAA backed by one of the leading HIPAA compliant hosting and security companies, stateregistrationmmc.com.