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Notice to Department of Cannabis Regulation Industry Professionals

If you are compensated to interact with the Department of Cannabis Regulation, City law may require you to register as a lobbyist and report your activity. Any individual may qualify as a lobbyist, regardless of occupation, education, training, or professional title. A lobbyist may hold a position that includes but is not limited to attorney, CEO, consultant, government liaison, business owner, permit applicant, engineer, scientist, grower, processor, cultivator, dispensary employee, marketer, packaging servicer and deliverer.

More information is available online through the Ethics Commission’s lobbying program and publication pages. For assistance, please contact the Ethics Commission.

Information and Procedure Bulletins

LIC-4001-IPB PCN Information and Procedure Bulletin
LIC-4002-IPB Pre-application Review Information and Procedure Bulletin
LIC-4003-IPB Temporary Approval Information and Procedure Bulletin
LIC-4004-IPB Application Modification: Business Premises Relocation Information and Procedure Bulletin
SEP-6001-IPB Social Equity Program - Entity Verification Information and Procedure Bulletin

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Public Convenience or Necessity Forms and Documents

LIC-4001-IPB PCN Information and Procedure Bulletin
LIC-4001-WF PCN Workflow
LIC-4001-FORM Public Convenience or Necessity Finding Request ("PCN Request Form")
LIC-4002-FORM Stakeholder Input Request

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Pre-Application Review Forms and Documents

LIC-4002-IPBPre-Application Review Information and Procedure Bulletin
LIC-4002-WFPre-Application Review Workflow
LIC-4016-FORMLandowner Attestation: Location Eligibility

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Temporary Approval Forms and Documents

DCC DocumentBusiness Premises Diagram Reference Guide 
LIC-4003-IPBTemporary Approval Information and Procedure Bulletin
SEP-6001-IPBSocial Equity Program - Entity Eligibility Verification Information and Procedure Bulletin.
LIC-4005-WFTemporary Approval Application Refiling Workflow
DCR FORMSample Inspection Checklist Retail
LIC-4003-FORMList of Primary Personnel and Owner(s)
LIC-4004-FORMPrimary Personnel and Owner Attestation
LIC-4005-FORMIndemnification Agreement
LIC-4006-FORMLabor Peace Agreement Attestation
LIC-4007-FORMLandowner Attestation: Commercial Cannabis Activity
LIC-4008-FORMLegal Business Entity Record Disclosure Form
LIC-4010-FORMTemporary Approval Attestation
LIC-4020-FORMNo Alcohol or Tobacco Applicant Attestation
LIC-4021-FORMInitial Inspection Attestation
SEP-6001-FORMSocial Equity Program - Owner Compliance Attestation

In addition to the DCR forms, the Temporary Approval Process requires that the Applicant submit following documents:

  • Executed Lease Agreement or Property Deed, or Other Evidence of Legal Right to Occupy

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Renewal Forms and Documents

 

DCC DocumentBusiness Premises Diagram Reference Guide
LIC-4005-FORMIndemnification Agreement
LIC-4013-FORMProject-Specific Information
LIC-4017-FORMRenewal Attestation

In addition to the DCR forms, the Renewal Process requires that the Applicant submit following documents:

  • Executed Lease Agreement or Property Deed, or Other Evidence of Legal Right to Occupy

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Social Equity Program Forms and Documents

SEP-6001-IPBSocial Equity Program - Entity Verification Information and Procedure Bulletin
SEP-6001-FORMSocial Equity Program - Owner Compliance Attestation
SEP-6001-CSEquity Share Review Checklist
SEP-6002-FORMPro Bono/Low Bono Authorization Agreement
SEP-6003-FORMAsset Attestation

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Application Modification Forms and Documents

Applicants and licensees seeking to request an Application/License modification must fill out the "Application Modification Request - Cover Page" along with the specific modification request form. Modification request forms are intended for use in DCR's Licensing Portal (Accela). Please do not submit official documents via email.

LIC-4004.1-WFApplication Modification: General Modification Request Workflow
LIC-4004-WFApplication Modification: Business Premises Relocation Workflow
LIC-4004-IPBApplication Modification: Business Premises Relocation Information and Procedure Bulletin
LIC-4001-MODApplication Modification Request Cover Page
LIC-4002-MODApplication Modification Request - Business Premises Relocation
LIC-4004-MODApplication Modification Request - Ownership Structure
LIC-4005-MODApplication Modification Request - Removal of Owner(s)
LIC-4006-MODApplication Modification Request - Applicant Entity Substitution (General)

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Application Supplements and Worksheets

LIC-4001-WSAccela Record Worksheet - Contact Type & Ref ID

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All Application Forms (in Numerical Order)

DCC DocumentBusiness Premises Diagram Reference Guide 
LAFD FORMStatement of Intended Use
DCR FORMSample Inspection Checklist Retail
ENF-3001-FORMAdministrative Hearing Request 
ENF-3003-FORMLicensee Attestation: Operational Rules and Regulations (revised 07.01.23)
ENF-3004-FORMCannabis Delivery Vehicle Fleet Information
ENF-3005-FORMExtension of Time to Comply with NOV 
LIC-4001-FORMPublic Convenience or Necessity Finding Request
LIC-4001-MODApplication Modification Request Cover Page
LIC-4002-FORMStakeholder Input Request
LIC-4002-MODApplication Modification Request - Business Premises Relocation
LIC-4004-FORMPrimary Personnel and Owner Attestation
LIC-4004-MODApplication Modification Request - Ownership Structure
LIC-4005-FORMIndemnification Agreement
LIC-4005-MODApplication Modification Request - Removal of Owner(s)
LIC-4006-FORMLabor Peace Agreement Attestation
LIC-4006-MODApplication Modification Request - Applicant Entity Substitution (General)
LIC-4007-FORMLandowner Attestation: Commercial Cannabis Activity
LIC-4008-FORMLegal Business Entity Record Disclosure Form
LIC-4009-FORMAuthorized Agent Acknowledgement
LIC-4010-FORMTemporary Approval Attestation
LIC-4013-FORM Project-Specific Information
LIC-4015-FORMApplication Withdrawal - License Cancellation
LIC-4016-FORMLandowner Attestation: Location Eligibility
LIC-4017-FORMRenewal Attestation
LIC-4018-FORMSuccessor In Interest Form
LIC-4019-FORMBusiness Premises Surrender Form
LIC-4020-FORMNo Alcohol or Tobacco Applicant Attestation
LIC-4021-FORMInitial Inspection Attestation
LIC-4023-FORMPhase 2 (LAMC 104.08) Tier 3 Applicant Attestation
SEP-6001-FORMSocial Equity Applicant - Owner Compliance Attestation
SEP-6002-FORMPro Bono/Low Bono Authorization Agreement
SEP-6003-FORMAsset Attestation

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