Skip to content
Account Registration
Lab Results
Menu
Account Registration
Lab Results
NY CAURD licensee account registration
"
*
" indicates required fields
CAURD Company Name (LLC/corp.)
*
OCM CAURD License Number
*
>OCM-AUCR-22-[ex. 000123]
Dispensary DBA Name
*
Address
*
Street Address
Address Line 2
City
ZIP / Postal Code
OCM Designated Region
*
Choose a Region
Brooklyn
Capital Region
Central New York
Finger Lakes
Long Island
Manhattan
Mid-Hudson
Mohawk Valley
North Country
Queens
Southern Tier
Staten Island
The Bronx
Western New York
Days of Operation
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Check all that apply.
Opening Hours
Hours
:
Minutes
AM
PM
AM/PM
Closing Hours
Hours
:
Minutes
AM
PM
AM/PM
Lead Manager/Buyer Contact
Name
*
Email
*
Phone
*
Delivery Preferences
[e.g., "No deliveries past 6:00 PM"]
Location of Delivery Door
[If you do not accept delivery of orders through the front door, please provide a detailed description of your delivery door's location.]
Delivery Notification Required in Advance?
[Please provide us with the name/number of your intake manager if you require a heads-up.]
Name
Number
