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
These forms and documents are intended for use in DCR's Licensing Portal (Accela). Please do not submit official documents via email. 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 |
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 |
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 |
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 |
| 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
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-6001-MOD | Application Modification Request - Phase 3 Applicant Entity Substitution |
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 |
| SEP-6001-MOD | Application Modification Request - Phase 3 Applicant Entity Substitution |
| 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) |
Application Supplements and Worksheets
| LIC-4001-WS | Accela Record Worksheet - Contact Type & Ref ID |
All Application Forms (in Numerical Order)
| LIC-4001-FORM | Public Convenience or Necessity Finding Request |
| LIC-4002-FORM | Stakeholder Input Request |
| LIC-4003-FORM | List of Primary Personnel and Owner(s) |
| LIC-4004-FORM | Primary Personnel and Owner Attestation |
| BCC FORM | Financial Information Form |
| BCC FORM | Business Premises Diagram |
| 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-4009-FORM | Authorized Agent Acknowledgement |
| LAFD FORM | Statement of Intended Use |
| BCC FORM | Security Plan |
| LIC-4010-FORM | Temporary Approval Attestation |
| LIC-4012-FORM | Staffing Plan |
| 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 |
All Application Forms (in Alphabetical Order)
| LIC-4009-FORM | Authorized Agent Acknowledgement |
| BCC FORM | Business Premises Diagram |
| LIC-4019-FORM | Business Premises Surrender Form |
| BCC FORM | Financial Information Form |
| LIC-4005-FORM | Indemnification Agreement |
| LIC-4021-FORM | Initial Inspection Attestation |
| LIC-4006-FORM | Labor Peace Agreement Attestation |
| LIC-4007-FORM | Landowner Attestation: Commercial Cannabis Activity |
| LIC-4016-FORM | Landowner Attestation: Location Eligibility |
| LIC-4003-FORM | List of Primary Personnel and Owner(s) |
| LIC-4020-FORM | No Alcohol or Tobacco Applicant Attestation |
| LIC-4008-FORM | Ownership and Financial Interest Holder Form |
| LIC-4004-FORM | Primary Personnel and Owner Attestation |
| LIC-4017-FORM | Primary Personnel and Owner Attestation (Renewal) |
| LIC-4001-FORM | Public Convenience or Necessity Finding Request |
| LIC-4009-FORM | Radius Map Attestation |
| BCC FORM | Security Plan |
| SEP-6001-FORM | Social Equity Program - Owner Compliance Attestation |
| LIC-4012-FORM | Staffing Plan |
| LIC-4002-FORM | Stakeholder Input Request |
| LAFD FORM | Statement of Intended Use |
| LIC-4019-FORM | Business Premises Surrender Form |
| LIC-4010-FORM | Temporary Approval Attestation |