For office use only
Reviewed by: ________
Registration updated on: _______
Industrial Hemp Grower Registration Supplemental Application
OPPR-201 Eff. 12/2021
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VIRGINIA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES
OFFICE OF POLICY, PLANNING, AND RESEARCH
P.O. Box 1163 Richmond, VA 23218
804-786-1241 www.vdacs.virginia.gov
INDUSTRIAL HEMP GROWER REGISTRATION
SUPPLEMENTAL APPLICATION
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OPPR-201 (Rev. 12/2021)
This is a supplemental application for industrial hemp growers to meet the requirements of the
Virginia Department of Agriculture and Consumer Services Industrial Hemp Program.
Only complete the supplemental application if your current Industrial Hemp
Grower Registration was issued between July 1, 2021, and December 13, 2021.
SECTION ONE – APPLICANT IDENTIFICATION
Do you currently have an Industrial Hemp Grower Registration? Yes No
If yes, please provide your registration number and its expiration date:
Registration Number Expiration Date
If no, please do not continue filling out this supplemental application. Please complete the Industrial
Hemp Grower Registration Application (Form OPPR-200).
Do not complete both Section 1-A and Section 1-B.
SECTION 1-A. Please complete Section 1-A if you are applying as an individual.
Applicant Name:
Physical Address
Where Applicant
Resides:
Mailing Address:
Telephone Number:
Email Address:
Industrial Hemp Grower Registration Supplemental Application
OPPR-201 Eff. 12/2021
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SECTION 1-B. Please complete Section 1-B if you are applying on behalf of a business.
NOTE: The business will be the registered grower and the registration will be issued in the
name of the business entity. A “key participant” is a sole proprietor, each partner in a
partnership, or each person with executive managerial control in a corporation, including the
chief executive officer, the chief operating officer, and the chief financial officer. Please attach
an additional sheet if the business has more than four key participants.
Business Name:
Federal EIN Number:
Physical Address of
Principal Place of
Business:
Mailing Address:
Name and Title of Key
Participant:
Name and Title of Key
Participant (if
applicable):
Name and Title of Key
Participant (if
applicable):
Name and Title of Key
Participant (if
applicable):
Contact information for individual completing and signing this application. This is the person
with whom VDACS will communicate regarding this business’s application and industrial hemp
registration.
Name and Title
Telephone Number:
Email Address:
Industrial Hemp Grower Registration Supplemental Application
OPPR-201 Eff. 12/2021
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SECTION TWO – CRIMINAL HISTORY
An FBI Identity History Summary must be completed and attached to the Industrial Hemp Grower
Registration Supplemental Application upon submission. If applying on behalf of a business entity, an
FBI Identity History Summary must be completed and attached for all key participants. The applicant
is solely responsible for all associated criminal background check fees.
The FBI Identity History Summary you submit to VDACS may not be dated more than 60 days before
the date of your application.
NOTE: An individual with a felony controlled substance conviction within 10 years of the application
date is not eligible for an Industrial Hemp Grower Registration.
I have attached an FBI Identity History Summary for myself.
I am applying on behalf of a business entity and have attached an FBI Identity History
Summary for all key participants.
SECTION THREE – INDUSTRIAL HEMP LOT(S)
“Lot” means a contiguous area in a field, greenhouse, or indoor growing structure containing the same
variety or strain of cannabis throughout the area.
If you plan to keep the same lots that are listed on your current Industrial Hemp Grower Registration
please check the box below.
Yes, please use the coordinates on the current registration for__________________.
Registration number
NOTE: If you need to update the location of your lot(s) please complete the Industrial Hemp
Change Request Form (OPPR-600). If you have further questions please contact the Industrial
Hemp Program at (804)786-1241 or hemp@vdacs.virginia.gov.
Industrial Hemp Grower Registration Supplemental Application
OPPR-201 Eff. 12/2021
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SECTION FOUR – NOTICES AND AFFIRMATIONS
By initialing and signing below, the applicant acknowledges that the applicant has read and agrees to
the following:
VDACS will forward a record of each Industrial Hemp Grower Registration issued
by the Commissioner to the chief law enforcement officer of the locality in which the
registered grower will grow industrial hemp.
VDACS will notify the Superintendent of State Police of the locations of all
industrial hemp lots.
All records, data, and information filed in support of a registration application will be
considered proprietary and excluded from the provisions of the Virginia Freedom of
Information Act.
Registered Industrial Hemp Growers must submit an Industrial Hemp Planting
Report (i) within 14 calendar days following the first day of each planting or (ii) by
July 31 for registered lots upon which industrial hemp will not be planted.
Registered Industrial Hemp Growers must submit an Industrial Hemp Harvest Report
within five calendar days following the harvest of an industrial hemp lot.
Registered Industrial Hemp Growers must report the following to the USDA Farm
Service Agency (FSA).
Total acreage of industrial hemp planted, harvested, and disposed or remediated
Registration number
Street address of each lot or greenhouse where industrial hemp will be produced
Geospatial location(s) of each lot or greenhouse where industrial hemp will be
produced
Acreage dedicated to the production of industrial hemp or greenhouse or indoor
square footage dedicated to the production of industrial hemp
Registered Industrial Hemp Growers must not harvest any industrial hemp that has
not been sampled by a Trained Sampling Agent.
Registered Industrial Hemp Growers must obtain the services of a Trained Sampling
Agent who will collect a representative sample from each industrial hemp lot.
Registered Industrial Hemp Growers must allow a Trained Sampling Agent to have
complete and unrestricted access during business hours to all industrial hemp and
other cannabis plants and to all land, buildings, and other structures used for
cultivation, handling, and storage of all industrial hemp and other cannabis plants
and all locations listed on the grower registration.
Registered Industrial Hemp Growers must obtain the services of a VDACS-approved
testing laboratory that will (i) analyze the Total THC concentration of each
representative sample collected by the sampling agent and (ii) submit its test results
directly to USDA and VDACS.
Registered Industrial Hemp Growers must not place into the stream of commerce any
industrial hemp grown before receiving a Fit for Commerce certificate from
VDACS.
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Industrial Hemp Grower Registration Supplemental Application
OPPR-201 Eff. 12/2021
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I hereby affirm that, to the best of my knowledge, information, and belief, I have made no
misrepresentation on this application or failed to disclose any information requested on this
application.
I affirm that I am authorized to give consent to enter the above-described lot(s) and I hereby consent to
the Virginia Department of Agriculture and Consumer Services, local law enforcement officials, or the
Virginia Department of State Police entering the above-described lot(s) and storage site(s) to conduct
physical inspections of the industrial hemp to ensure compliance with the requirements of the Virginia
Industrial Hemp Law (Va. Code § 3.2-4112 et seq.).
Signature Date
Print Name
click to sign
signature
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