Information and Procedure Bulletins
Public Convenience or Necessity Forms and Documents
Pre-Application Review Forms and Documents
Temporary Approval Forms and Documents
Social Equity Program Forms and Documents
Application Modification Forms and Documents
Application Supplements and Worksheets
All Application Forms (In Numerical Order)

These forms and documents are intended for use in DCR's Licensing Portal (Accela). Please do not submit official documents via email unless requested by an analyst. DCR may accept electronic signatures on forms, unless the form specifically requires a notarized signature.


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-IPB Pre-Application Review Information and Procedure Bulletin
LIC-4002-WF Pre-Application Review Workflow
LIC-4016-FORM Landowner Attestation: Location Eligibility

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Temporary Approval Forms and Documents

LIC-4003-IPB Temporary Approval Information and Procedure Bulletin
SEP-6001-IPB Social Equity Program - Entity Eligibility Verification Information and Procedure Bulletin.
LIC-4003-WF Temporary Approval Workflow
LIC-4005-WF Temporary Approval Application Refiling Workflow
BCC FORM Financial Information Form
LIC-4003-FORM List of Primary Personnel and Owner(s)
LIC-4004-FORM Primary Personnel and Owner Attestation
LIC-4005-FORM Indemnification Agreement
LIC-4006-FORM Labor Peace Agreement Attestation
LIC-4007-FORM Landowner Attestation: Commercial Cannabis Activity
LIC-4008-FORM Ownership and Financial Interest Holder Form
LIC-4010-FORM Temporary Approval Attestation
LIC-4020-FORM No Alcohol or Tobacco Applicant Attestation
LIC-4021-FORM Initial Inspection Attestation
SEP-6001-FORM Social Equity Program - Owner Compliance Attestation
BCC Form Business Premises Diagram

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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Social Equity Program Forms and Documents

SEP-6001-IPB Social Equity Program - Entity Verification Information and Procedure Bulletin
SEP-6001-FORM Social Equity Program - Owner Compliance Attestation
SEP-6001-CS Equity Share Review Checklist
SEP-6002-FORM Pro Bono/Low Bono Authorization Agreement
SEP-6003-FORM Asset 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-WF Application Modification: General Modification Request Workflow
LIC-4004-WF Application Modification: Business Premises Relocation Workflow
LIC-4004-IPB Application Modification: Business Premises Relocation Information and Procedure Bulletin
LIC-4001-MOD Application Modification Request Cover Page
LIC-4002-MOD Application Modification Request - Business Premises Relocation
LIC-4004-MOD Application Modification Request - Ownership Structure
LIC-4005-MOD Application Modification Request - Removal of Owner(s)
LIC-4006-MOD Application Modification Request - Applicant Entity Substitution (General)

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Application Supplements and Worksheets

LIC-4001-WS Accela Record Worksheet - Contact Type & Ref ID

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All Application Forms (in Numerical Order)

BCC FORM Financial Information Form
BCC FORM Business Premises Diagram
BCC FORM Security Plan
LAFD FORM Statement of Intended Use
ENF-3003-FORM Licensee Attestation: Operational Rules and Regulations (revised 11.10.22)
ENF-3004-FORM Cannabis Delivery Vehicle Fleet Information
LIC-4001-FORM Public Convenience or Necessity Finding Request
LIC-4001-MOD Application Modification Request Cover Page
LIC-4002-FORM Stakeholder Input Request
LIC-4002-MOD Application Modification Request - Business Premises Relocation
LIC-4003-FORM List of Primary Personnel and Owner(s)
LIC-4004-FORM Primary Personnel and Owner Attestation
LIC-4004-MOD Application Modification Request - Ownership Structure
LIC-4005-FORM Indemnification Agreement
LIC-4005-MOD Application Modification Request - Removal of Owner(s)
LIC-4006-FORM Labor Peace Agreement Attestation
LIC-4006-MOD Application Modification Request - Applicant Entity Substitution (General)
LIC-4007-FORM Landowner Attestation: Commercial Cannabis Activity
LIC-4008-FORM Ownership and Financial Interest Holder Form
LIC-4009-FORM Authorized Agent Acknowledgement
LIC-4010-FORM Temporary Approval Attestation
LIC-4013-FORM  Project-Specific Information
LIC-4015-FORM Application Withdrawal - License Cancellation
LIC-4016-FORM Landowner Attestation: Location Eligibility
LIC-4017-FORM Primary Personnel & Owner Attestation (Renewal)
LIC-4019-FORM Business Premises Surrender Form
LIC-4020-FORM No Alcohol or Tobacco Applicant Attestation
LIC-4021-FORM Initial Inspection Attestation
SEP-6001-FORM Social Equity Applicant - Owner Compliance Attestation
SEP-6002-FORM Pro Bono/Low Bono Authorization Agreement
SEP-6003-FORM Asset Attestation

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