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TENNESSEE HEMP MOVEMENT PERMIT

Sender Information:

(Supplier of plants)

TN Licensee Name:

TN License No.:

Point of Origin:
(Address)

Street

City

County

State

Zip Code

Date * :
*Permits are valid only for the date listed above.

Quantity:

Units:

Driver Name:

Driver's License:

License Plate:

Vehicle Color:

Year:

Make:

Model:

Receiver Information:

Name: (Processor or grower)

License No.: (Only if receiving rooted hemp)

Destination:
(Address)

Street

City

County

State

Zip Code

By submitting this application for a Tennessee Hemp movement permit, I certify that the information contained in this application is true and accurate to the best of my knowledge. I agree to move hemp only as authorized herein and in conformance with state law. I understand that a movement permit is required per vehicle per day and that each cannabis plant or plant product moved not in conformity with state law may constitute a separate violation, resulting in civil penalties of up to $1,000 per violation and possible criminal charges. I agree to accept responsibility for any violations committed by persons operating under this license.

Electronic Signature:

Electronically sign application.

Tennessee Department of Agriculture ∙ Division of Consumer & Industry Services ∙ Plant Certification Section Post Office Box 40627 ∙ Nashville, Tennessee 37204 ∙ (615) 837-5137 ∙ industrial.hemp@tn.gov