
Ijuana license, as described in OAR 845-025-1045. Each person must complete and sign their own history form. Who needs to complete a Marijuana Business Individual History form? Everyone who is an applicant for a license as described in OAR 845-025-1045, must fill out an Individual History form. The Commission may request that other individuals with a financial interest in the business complete an Individual History form. Unless specifically requested to do so by your license investigator,.
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How to use or fill out the OR OLCC MJ 17-1010 online
The OR OLCC MJ 17-1010 is an essential form for individuals seeking a marijuana license in Oregon. This guide provides clear, step-by-step instructions to assist users in completing the form accurately and efficiently.
Follow the steps to fill out the OR OLCC MJ 17-1010 form effectively.
- Click ‘Get Form’ button to obtain the form and open it in the online editor.
- Begin with Section 1 – Individual History Statement. Enter your full name, including first name, middle initial, and last name, followed by your date of birth structured in month, day, and year format.
- Indicate your gender. You may select from the options provided or choose to opt-out of responding.
- Fill in your mailing address, including city, state, ZIP code, and contact information like phone number and email address.
- If you possess a Social Security number, enter it in the respective field. If you do not have one, mark the 'I do not have a Social Security Number' option.
- Read the Social Security number disclosure carefully. Confirm your consent for the use of your SSN for identity verification during a criminal records check by checking the appropriate box.
- Answer the question regarding felony convictions truthfully. If applicable, prepare to attach an explanation for any felony convictions.
- Disclose any unresolved arrests or citations for misdemeanor or felony charges, noting that you must inform your investigator of any changes post-submission.
- List all business names and license numbers for any OLCC liquor or marijuana licenses that you have previously applied for or received.
- Proceed to Section 2 – Acknowledgement. Read the affirmation statement carefully and ensure that your answers are accurate.
- Sign and date your form in the designated area, confirming that you have completed the form to the best of your ability.
- Once all fields are complete, you may save your changes, download, print, or share the completed form.
Start filling out your OR OLCC MJ 17-1010 form online today to ensure a smooth application process.
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