Marihuana Medical Access Regulations

38 (1) The declaration of the applicant under paragraph 37(2)(a) must

• (a) include the information referred to in paragraphs 28(1)(a) to (d);

• (b) indicate the name, date of birth and gender of the designated person;

• (c) indicate the full address of the place where the designated person ordinarily resides as well as the designated person’s telephone number and, if applicable, facsimile transmission number and e-mail address; and

• (d) indicate the mailing address of the place referred to in paragraph (c), if different.

(2) The declaration must be dated and signed by the applicant and attest that the information contained in the declaration is complete and correct.