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Medicinal Cannabis Importation Licence Application form

INSTRUCTIONS FOR COMPLETING THIS FORM
 

NON-COMPLIANCE WITH THESE INSTRUCTIONS WILL INVOLVE DELAY

NOTE:   An IMPORT LICENCE is authority solely for the importation of the particular consignment and must be surrendered at the time of importation to the States Revenue Officer.        

1. APPLICATIONS will be entertained only if made by a licensee under the Misuse of Drugs (Bailiwick of Guernsey) Law 1974.  They must always be made by the actual importer, and NOT by a forwarding agent (i.e. shipping agent or other such person) on his behalf.

2. An IMPORT LICENCE under the Misuse of Drugs (Bailiwick of Guernsey) Law 1974 is required for any substance for the time being specified in Schedule 1 to that Law but not for any preparation or other substance for the time being falling within Schedule 1 to the Misuse of Drugs (Bailiwick of Guernsey) Ordinance 1975.  (Copies of the Law and Ordinance may be obtained from the Greffe, Guernsey).

3. A SEPARATE LICENCE is required in respect of each consignment.

4. ITEM 9, front page.  The following should be carefully observed:

(a) Describe each item in full.

(b) RAW OPIUM - State the country of origin and the percentage morphine anhydrous content.

(c) COCA LEAVES - State country of origin.

(d) ALL OTHER SUBSTANCES - State whether alkaloid or base, salts or preparations containing the substances.  If preparations, give the percentage of alkaloid or base, except in the case of declarations in terms of morphine which should state the morphine anhydrous content.

5. SIGNATURE OF FORM.  The declaration must be signed (the box ticked below) by the actual importer (patient) (see Instruction 1)

The attention of applicants is directed to section 17(4) of the Misuse of Drugs (Bailiwick of Guernsey) Law 1974, which makes it an offence, punishable by imprisonment or fine or both, for a person to knowingly or recklessly make a declaration or statement which is false in a material particular, for the purpose of obtaining the issue or renewal of any licence or authority under the Law or any Ordinance made under it.

THE MEDICAL OFFICER OF HEALTH, HEALTH AND SOCIAL CARE,  LE VAUQUIEDOR OFFICE,  RUE MIGNOT, ST ANDREWS, GUERNSEY, GY6 8TW

  1. Please use the form below to tell us if you are self-isolating
    1. Please note - Importer completing this form: Your Prescriber or Prescriber’s Clinic must EMAIL YOUR PRESCRIPTION DIRECT TO cannabislicence@gov.gg

      IN ADDITION the clinic must type the details of the prescription into the body of the email.

      It is the patient’s responsibility to arrange this with the clinic.

      There may be a delay if this form is incomplete.


    2. Describe the particulars of each item to be imported in the box below (see Instruction 2).
    3. Declaration: I hereby declare that to the best of my knowledge and belief all the particulars in this application are correctly stated and, in particular, that the substances will not be used for any purpose other than that stated in paragraph 6 above, if importation is authorised.
    4. Your personal data is processed in accordance with the Data Protection (Bailiwick of Guernsey) Law, 2017. For more information on how we use your data, please see our fair processing notice which can be found here: gov.gg/fpn-cannabisimportation
    5. I declare that all the information I have provided on this form is true and correct to the best of my knowledge. I understand that if any of the information is false or misleading, it may be a criminal offence and it may result in the licence being instantly revoked (whether or not it is a criminal offence).
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