Before completing the application, please confirm that your business is located inside the unincorporated areas of Contra Costa County by visiting https://taxcolp.cccounty.us/BizLicense/summary/ .

* Required                  

DBA
Business Name
Business Address (Must be physical location, not a Post Office Box)	Verifying Address... Verified! Not recognized as a valid USPS address. Valid USPS address but is missing UNIT/STE #. Valid USPS address but UNIT/STE # is not recognized. Verify Address Edit
Mailing Address	Same as address above
	Verifying Address... Verified! Not recognized as a valid USPS address. Valid USPS address but is missing UNIT/STE #. Valid USPS address but UNIT/STE # is not recognized. Verify Address Edit
Ownership Type	Corporation Ltd Liability Co Ltd Partnership Partnership Sole Proprietorship Trust
Number of Full-Time Employees (working in unincorporated) *
Start Date in Contra Costa County (estimate if in the future)
Contact Information
Phone
Email (Default)
Seller's Permit No.
Federal Tax ID No.
State Employment ID No.
State License Information (Contractor, Medical, CAMTC, etc.)
Professional State License #
Type of Professional State License
State License Expiration Date
State License Verification *
Additional Information
Business Description *	---Select---11 Agriculture, Forestry, Fishing and Hunting21 Mining, Quarrying, and Oil and Gas Extraction22 Utilities23 Construction31-33 Manufacturing42 Wholesale Trade44-45 Retail Trade48-49 Transportation and Warehousing51 Information52 Finance and Insurance53 Real Estate and Rental and Leasing54 Professional, Scientific, and Technical Service55 Management of Companies and Enterprises56 Administrative, Support, Waste Management or Re61 Educational Services62 Health Care and Social Assistance71 Arts, Entertainment, and Recreation72 Accommodation and Food Services81 Other Services (except Public Administration)92 Public Administration
If a Cannabis Related Business, please select business type and enter the applicable license number below.	---Select---11 Cultivator31-33 Manufacturing31-33 Microbusiness (Non-Retail)44-45 Microbusiness (Retail)44-45 Retailer48-49 Distribution54 Testing Lab
Cultivator License Number
Distributor License Number
Manufacturer License Number
Microbusiness License Number
Retailer License Number
Testing Lab License Number
Will this business operate as a Hotel or Short-Term Rental? *	---Select---NoYes
Standard Industrial Classification (SIC) (Click here for more information.)
Water Discharger Identification No. (Click here for more information.)
Will this business sell Alcohol? *	---Select---NoYes
If YES, include the number of locations.
Will this business sell tobacco products? *	---Select---NoYes
If YES, include the number of locations.
Is this business exempt from Business License Taxes? If YES, enter the appropriate type of Exemption. *	---Select---NoYes
Enter your exemption type. (64-14.406 Exemptions)	---Select---Less than $20,000/yrLivestock, Poultry, AgricultureNon-profit organizationRent/Lease less than 4 unitsUnreasonable burdenVeteran status
File Attachments (if required).
Fictitious Business Name Statement (MUST ATTACH COPY IF USING A FBN)
File Description
	*This file type is not allowed. List of supported file types.
Land Use Verification or Home Occupancy Form (MUST ATTACH IF BUSINESS IS IN UNINCORPORATED CONTRA COSTA)
File Description
	*This file type is not allowed. List of supported file types.
Secretary of State Information Statement
File Description
	*This file type is not allowed. List of supported file types.
California Driver’s License or ID (MUST ATTACH IF USING SURNAME AS BUSINESS NAME)
File Description
	*This file type is not allowed. List of supported file types.
Other such as; Contractor License, Cannabis License, Non-profit...etc
File Description
	*This file type is not allowed. List of supported file types.
*Cumulative file size can not exceed 89MB. Please reduce the size of your files and try again.