Biopharmaceutical Industry Questionnaire – San Mateo County, CA

The Biopharmaceutical Industry Questionnaire is a form from the San Mateo County Assessor-County Clerk-Recorder on which a company describes its biopharmaceutical activities in the county by checking boxes about its product, the product's use and the materials involved.

The form tells you to base every answer on your company's activities in San Mateo County only. It has four questions:

• Question 1: whether the company manufactures a product, engages in research to develop a product, or does other activities (explain).
• Question 2: whether the product is or will be therapeutic (treatment of a disease or condition), diagnostic (discovery or identification of a disease or condition), or used for other functions (explain).
• Question 3: whether the product is or will be used for humans, animals, or other users (explain).
• Question 4: whether the product is manufactured, or research is conducted, using organisms, cellular, subcellular or molecular materials derived from organisms, or other materials (explain).

The bottom of the form asks for the firm name, account number, the name and title of the person making the claim, an email address (marked required), a signature and a date.

On the Assessor's business personal property forms page, the questionnaire appears under Biopharmaceutical Forms next to a second form, Qualifications For A Biopharmaceutical Industry Equipment And Fixtures. The questionnaire is a separate document from that one and from the Business Property Statement forms listed on the same page.

Companies that carry on biopharmaceutical activities in San Mateo County use this questionnaire to describe those activities to the Assessor's Office. The form is addressed to a company: it asks for the firm name and account number, and it is signed by the person making the claim on the company's behalf, who gives a name and title.

Points the form itself makes:

• Answer only for the company's activities in San Mateo County. Activities elsewhere are outside the form.
• Each question has an "other" option with an Explain line, for companies whose activity, product use or materials do not fit the listed boxes.
• First-time filers who have no account number should, according to the Assessor's page, print "New Account" across the top of the form so the office can assign one.

The form does not state who is legally required to file it or any exemption from filing. For questions about whether it applies to your business, the Assessor's Office takes calls and voicemail at (650) 363-4501.

The Assessor's Office accepts the Biopharmaceutical Industry Questionnaire by email, by mail, or through a DocuSign version with e-signature.

• Email: send the completed form to [email protected]. The form requires an email address for the person making the claim.
• Mail: send it to the San Mateo County Assessor's Office at the mailing address printed at the bottom of the form.
• DocuSign: the Assessor's business personal property forms page, https://smcacre.gov/assessor/business-personal-property-forms, links a DocuSign version of this questionnaire for completing and submitting with an e-signature. The same page links the PDF.

Include the business name, mailing address and account number if you have one; first-time filers print "New Account" across the top of the form. Questions can be left as a voicemail or message at (650) 363-4501; office hours are Monday through Friday, 8-5 p.m. The form names no fee. FillingPDF lets you fill out and download the PDF; submission follows the county's channels above.