Printable Form Instructions 4797 Wisconsin 2024-2025

Printable Form Instructions 4797 Wisconsin: What You Should Know

The certificate must be provided to your state's Board of Radiologic Technologists  or similar entity upon request if the licensee has not transferred the radioactivity permit after the date of license termination. CERTIFICATE OF TERMINATION OF MARIJUANA PROFESSIONAL LICENSE FOR NONRESIDENTS. CERTIFICATE OF TERMINATION OF MARIJUANA PROFESSIONAL LICENSE FOR NONRESIDENTS.  Complete the form and provide the appropriate fees to your state's Board of Radiologic Technologists, or similar entity, upon request if the licensee has not transferred the marijuana license after the date of license termination. PURPOSE The purpose of this form is to provide notification that the licensee is in possession of marijuana for any purpose other than the purpose for which it was licensed, as described in Section 3701(b)(2)(A) of the Internal Revenue Code and Section 4719(a) of the State of Wisconsin Law.  Evaluation of Marijuana for Purpose of Section 3701 of the Internal Revenue Code (Internal Revenue Code: Chapter 3701, Section 5662 of the Wisconsin Code): Use this form to evaluate marijuana for the purpose of Section 3701(b)(1) of the Internal Revenue Code, but only to determine if marijuana is considered a 'controlled substance' under the Act. The form will also provide for a 'provisional disposition' of marijuana in an amount of no less than the original license holder's license. If marijuana for purposes of the Act would not create any additional risk of a 'material adverse effect' on the safety or health of any patient, then the licensing law for the marijuana may not require marijuana to retain a 'residual medical use' exemption at the time it is sold and/or transferred if it is determined that the medical use exemption is no longer available (in accordance with the Act or rules issued under the Act by the Department of Agriculture) to permit the continued possession of the marijuana. SUMMARY OF REQUIREMENTS • The form does not require an analysis of each cannabis plant or marijuana grown; • Marijuana under analysis is required from the Department of Agriculture no later than June 1, 2016.

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