OMMU Recommended
Attestation Form
To apply for reinstatement of a patient or caregiver MMUR registration following a revocation, you must submit a notarized attestation swearing under penalty of perjury that you have completed all terms of incarceration, probation, community control, or supervision related to the offense(s). The OMMU recommended attestation form can be found here.
Please note: Once approved for reinstatement by the OMMU, the person applying for reinstatement must be recertified by a qualified physician to determine if he or she still qualifies for the medical use of marijuana within Florida’s Medical Marijuana Use Program. If the person is deemed eligible by the qualified physician, he or she must then submit a MMUR ID card renewal application.
Directions:
- Click on the link below and download the OMMU Recommended Attestation Form PDF file to your computer.
- Fill out the form.
- The completed form must be notarized by a Notary Public swearing under penalty of perjury that you have completed all terms of incarceration, probation, community control, or supervision related to the offense(s).
- Mail the completed, notarized form to the OMMU via email to MMUR_Applications@FLHealth.gov, fax to 850-487-7046, or mail to PO Box 5046, Tallahassee, FL 32314.
- Time to review reinstatement requests will vary. Once the OMMU has received a properly completed notarized affidavit from the patient or caregiver, reinstatement requests will take up to 15 business days for processing.
Please note: If a properly completed notarized affidavit is not submitted, the OMMU may request additional information from the patient or caregiver to determine reinstatement eligibility and processing of the reinstatement request will be delayed until the OMMU receives necessary documentation.
