Get Or Olcc Mj 17-1010 2020

The Oregon Liquor Control Commission Marijuana Business Individual History Form, known as OR OLCC MJ 17-1010, is essential for individuals applying for a marijuana license. This guide offers clear, step-by-step instructions to help users accurately complete the form online.

Follow the steps to effectively fill out the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out Section 1, which requires your individual history statement. Enter your name, date of birth, and gender. You can choose to opt-out of responding to the gender question if you prefer.
3. Provide your mailing address, including city, state, and ZIP code. Ensure that your contact phone number and email address are accurate for further communication.
4. If you have a Social Security number, enter it in the designated field. Remember, this information is required for compliance with federal and state laws surrounding child support enforcement. If you do not have a Social Security number, select the appropriate option provided.
5. Indicate whether you consent to the use of your Social Security number for identity verification during a criminal records check by checking 'Yes' or 'No'.
6. Answer the questions regarding felony convictions and any unresolved arrests or citations. If applicable, be prepared to attach an explanation when you have been convicted of a felony.
7. List all OLCC liquor or marijuana licenses you have applied for or held. Include the business name and license number or premises number.
8. In Section 2, provide your signature and date to affirm that all the information is true and correct. Remember that this form must be signed by you personally, not by an attorney or representative.
9. Once you have completed all sections, review the form for accuracy, and make any necessary adjustments.
10. After ensuring all information is correct, you can save changes, download, print, or share the form as needed.

Complete the OR OLCC MJ 17-1010 document online today to ensure your application progresses smoothly.