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USE OF CANNABIS DISCLOSURE AND ACKNOWLEGMENT As a condition of being placed in a temporary work assignment at Northwestern Memorial HealthCare (Northwestern Medicine), and by signing below, I acknowledge
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01
Begin with your personal information, including your name, address, and date of birth.
02
Carefully read the purpose of the disclosure and any instructions provided.
03
Indicate your cannabis use status by selecting the appropriate option (e.g., regular user, occasional user, non-user).
04
Provide details about the form of cannabis you use (e.g., flower, oil, edibles) if applicable.
05
Note the reasons for your cannabis use, such as medical or recreational purposes.
06
Sign and date the document to confirm the accuracy of the information provided.
07
Submit the completed disclosure as directed, whether electronically or in person.

Who needs use of cannabis disclosure?

01
Individuals applying for jobs in industries regulated by cannabis laws.
02
Patients seeking medical cannabis as part of their treatment.
03
Employees required to disclose drug use as part of workplace policies.
04
Students applying for educational programs that include health or safety training.
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The use of cannabis disclosure is a legal document that requires individuals or organizations to report their cannabis use or involvement, providing transparency and accountability, often for regulatory or compliance purposes.
Individuals or entities that engage in activities involving cannabis, including those licensed for cultivation, distribution, or sale, and possibly employees working in the cannabis industry may be required to file this disclosure.
To fill out a use of cannabis disclosure, individuals should gather relevant information regarding their cannabis use or involvement, follow the prescribed format or template provided by the regulatory body, and submit it before the specified deadline.
The purpose of use of cannabis disclosure is to ensure compliance with cannabis regulations, promote public health and safety, and monitor cannabis use within legal frameworks.
Reported information typically includes personal identification details, the nature and extent of cannabis use or involvement, relevant dates, and any pertinent operational details related to cannabis activities.
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