Business Closure Form – Sacramento, CA

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Business Closure Form – Sacramento, CA

The Business Closure Form is the City of Sacramento form a cannabis permit holder uses to surrender an operating permit when permanently closing. Fill it out online on FillingPDF and download or print the completed PDF.
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The Business Closure Form is the City of Sacramento form that tells the Office of Cannabis Management (OCM) a cannabis business is permanently closing and that its permit should be formally withdrawn. If you searched for a Sacramento business license, note that this form covers only the surrender of a cannabis permit by an owner listed on that permit. On this page you can fill out the form online on FillingPDF and download or print the completed PDF. The City of Sacramento Finance Department publishes the original PDF on the City's website.

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What is Business Closure Form – Sacramento, CA?

The Business Closure Form is the City of Sacramento form used by a cannabis business that is permanently closing and wants to surrender its permit. Submitting it notifies the Office of Cannabis Management (OCM) that the business is no longer in operation and that the permit should be formally withdrawn.

The City of Sacramento Finance Department lists the form on its Cannabis Forms and Information page, under the forms "for permit holders who are permanently closing business." The form itself says the process is for business closures only.

The two-page form collects:

  • the legal business name and the business premises address;
  • every Operating Permit number on the premises that is closing, with room for four;
  • the reason or reasons for closing: compliance issues, operational issues, business structure issues, other, or decline to state;
  • what happened to the cannabis and cannabis products on-site: sold to a licensed cannabis business before operations ceased, or destroyed or disposed of on a stated date;
  • an initialed authorization for City officials to verify the information through a physical inspection and through the business's California Cannabis Track and Trace system accounts;
  • an initialed certification that the information is true and correct, followed by name, title, signature and date.

The bottom of page 2 is marked "For staff use only" and is left blank by the applicant.

The agency page also lists a separate form for a business that intends to cease operations for more than 30 days. This closure form is not that form.

Who needs to file Business Closure Form – Sacramento, CA?

An owner listed on the permit of a cannabis business in the City of Sacramento that is permanently closing and wishes to surrender its permit uses this form. The form states that it must be signed and submitted by an owner listed on the permit.

  • List every Operating Permit number on the premises that is closing. The form has four spaces.
  • Complete all applicable sections.
  • Initial both the authorization and the certification sections.

The form is for permanent closures only. A business that only intends to stop operating for more than 30 days is directed by the City's forms page to a different form, not this one. Changes of ownership or business structure are also handled through other forms listed on that page, such as the Ownership and Business Structure form. The form describes no role for a representative, so it is signed by an owner listed on the permit.

When to file Business Closure Form – Sacramento, CA

Submit the form when you are permanently closing your cannabis business and want to surrender your permit. The form sets no separate due date; it is the notice that the business is no longer in operation and that the permit should be formally withdrawn.

Before you submit, the business should have dealt with the cannabis and cannabis products on-site, because the form asks whether they were sold to a licensed cannabis business before operations ceased or destroyed or disposed of, with the date. The City's forms page lists a different form for a business that intends to cease operations for more than 30 days; use that one for a temporary stop.

How to fill out Business Closure Form – Sacramento, CA

  1. Confirm the form fits your situation

    Use it only if you are permanently closing your cannabis business and want to surrender your permit. It must be signed and submitted by an owner listed on the permit.

  2. Enter business name and premises address

    Write the Legal Business Name and the Business Premises Address in the first two lines.

  3. List the Operating Permit numbers

    Under "List all Operating Permit numbers on the premises that are closing," enter each number on lines 1 through 4.

  4. Check the reasons for closing

    Check all that apply: compliance issues, operational issues, business structure issues, Other (write the reason on the line) or Decline to state.

  5. Report cannabis products on-site

    Check whether the cannabis and cannabis products were sold to a licensed cannabis business before operations ceased, destroyed or disposed of, or both. For destruction or disposal, enter the date.

  6. Initial the authorization

    Initial the Authorization section to allow City officials to verify your information through a physical inspection and your California Cannabis Track and Trace system accounts.

  7. Initial the certification

    Initial the Certification section to certify that the information provided is true and correct.

  8. Add name, title, signature and date

    Print your Name and Title, then sign and date the form as an owner listed on the permit. Leave the For Staff Use Only block blank.

  9. Review, download and email the PDF

    Check every entry, then download or print the completed PDF from FillingPDF and send it as described under How to submit.

How to submit Business Closure Form – Sacramento, CA

Submit the completed form by email to [email protected]. The form names no mailing address, portal or in-person option.

  • Email: send the fully completed form, with all applicable sections filled, to [email protected]. It goes to the Office of Cannabis Management.
  • Who submits: the form must be signed and submitted by an owner listed on the permit.
  • Before sending: check that the Operating Permit numbers are listed, the initials appear in both the authorization and certification sections, and the name, title, signature and date are complete. Leave the staff-use block empty.

The City's forms page and the form give no fee or processing time for this form. FillingPDF lets you fill out and download the PDF; submission follows the channel above.

Common mistakes to avoid

  • Submitting the form signed by someone who is not an owner listed on the permit; it must be signed and submitted by a listed owner.
  • Leaving applicable sections blank; the instructions ask you to fully complete all applicable sections.
  • Listing only some Operating Permit numbers when several permits on the premises are closing.
  • Skipping the initials in the Authorization or Certification sections; both are initialed, in addition to the signature.
  • Using this form for a temporary stop; the City lists a separate form for ceasing operations for more than 30 days.
  • Writing in the For Staff Use Only block at the bottom of page 2.
  • Not stating the date of destruction or disposal when you check the destroyed/disposed of option for cannabis on-site.

Frequently asked questions

What is the Business Closure Form in Sacramento?

It is the City of Sacramento form a cannabis business uses when it is permanently closing and wants to surrender its permit. It notifies the Office of Cannabis Management that the business is no longer operating and that the permit should be formally withdrawn.

Is this the form to cancel a Sacramento business license?

Only for a cannabis permit. The form is written for permanently closing a cannabis business and surrendering its permit, and it describes no other kind of license. Other City licenses are not addressed by this form.

Who can sign and submit the Business Closure Form?

An owner listed on the permit. The form states it must be signed and submitted by such an owner, and it provides no space or rule for a representative to sign instead.

Where do I send the Sacramento Business Closure Form?

Email the completed form to [email protected]. That is the only submission channel the form names; it prints no mailing address or in-person option.

What do I need to know before filling out the form?

Have your legal business name, premises address and every Operating Permit number that is closing (four spaces). Also know why you are closing and how the on-site cannabis was sold or destroyed, with the date if destroyed or disposed of.

What do the authorization and certification sections mean?

By initialing the authorization, you allow City officials to check your information through a physical inspection and your California Cannabis Track and Trace system accounts. By initialing the certification, you state the information is true and correct.

Is there a different form if I only stop operating temporarily?

Yes. The City's forms page lists a separate form for a business that intends to cease operations for more than 30 days. The Business Closure Form is for permanent closures only.

Can I fill out the Business Closure Form online on FillingPDF?

Yes. You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is independent, is not affiliated with the City of Sacramento and does not submit the form; you email it to the City yourself.

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