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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.

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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-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
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-6003-FORM	Asset Attestation

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