Confidential Information Disclosure

Licensees may request the Division of Cannabis Regulation (DCR) share the licensee's application, license number, or other regulatory and financial information with a banking institution. RSMo 362.034, only applies to the disclosure of information necessary to facilitate financial services between a banking institution and the licensee making the request. The statute went into effect on August 28, 2023.

To ensure DCR is properly maintaining the confidentiality of individualized data, information, or records, a licensee must submit the Confidential Information Disclosure form to DCR. The form may be found on DCR’s website here: Confidential information Disclosure Form

Only the licensee’s designated contact may sign and submit the Confidential Information Disclosure form. Licensees may send a request for multiple licenses within the same email but must submit a separate Confidential Information Disclosure form for each license number.

Forms that are incomplete and or submitted by a banking institution will be returned to the designated contact.

How to Submit a Confidential Information Disclosure Form

  1. Fill out the form in its entirety, including:
    • Designated Contact Name
    • Licensee Entity Name
    • Licensee Number
    • Designated Contact Email Address
    • Designated Contact Phone Number
    • Banking Institution Information
      • Name of Institution
      • Address
      • Email Address
      • Phone Number
      • Name of Contact Individual for the Institution
    • Specify Information to be disclosed
      • Application
        • This request must include the application ID number.
      • License
        • This request must include the state license number.
      • Other regulatory or financial information
        • This request must include sufficient detail regarding for the information requested to insure accurate delivery to the banking institution.
    • Complete the form by:
      • Printing the name of the designated contact
      • Signature of the designated contact
      • Adding the date the form was completed
  2. Licensee’s designated contact must
    • Submit the completed form to: CannabisDevelopment@health.mo.gov
    • Email Subject lines and Attachments should be labeled accordingly
      • Ex. Confidential Information Authorization: License Name and License Number with Prefix [MAN/DIS/CUL, etc.]

For questions regarding Confidential Disclosure Forms, email the Program Development Unit at CannabisDevelopment@health.mo.gov