Who uses the Tobacco Retailer License Application?

Businesses seeking a new Emeryville tobacco retailer license, renewing a license, or reporting a change of ownership use this application.

What information does the application ask for?

It asks for business and owner information, existing license details, answers about past violations and ownership changes, and owner signatures.

Do I need a notary for the Tobacco Retailer License Application?

No. The application is signed without a notary; each owner declares under penalty of perjury that the information and submitted items are true and correct.

Emeryville, CA · Alameda County

No notary required

Tobacco Retailer License Application

Emeryville businesses use this application to request a new tobacco retailer license, renew a license, or report a change of ownership.

What this form is

This application is for businesses seeking a new Emeryville tobacco retailer license, renewing one, or reporting a change of ownership. It requests business and owner details, existing license information, answers about prior violations and ownership changes, and owner signatures. The form states that a city retail license is required to sell or distribute tobacco products and paraphernalia, and that appropriate fees must be attached.

Who needs it

A business seeking a new Emeryville tobacco retailer license, renewing its license, or reporting a change of ownership should complete this application.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This application is signed without a notary; each owner declares under penalty of perjury that the application information and submitted items are true and correct.

How to submit this form

1
Download The Application
Download the Tobacco Retailer License Application PDF.
2
Complete The Application
Provide business and owner information, select the application type, and answer the questions about violations and ownership changes.
3
Gather Attachments
Include copies of the listed licenses and permits, any required explanations, additional owner pages if needed, and the appropriate fees.
4
Submit To The City
Submit the completed application to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Who uses the Tobacco Retailer License Application?: Businesses seeking a new Emeryville tobacco retailer license, renewing a license, or reporting a change of ownership use this application.
What information does the application ask for?: It asks for business and owner information, existing license details, answers about past violations and ownership changes, and owner signatures.
Do I need a notary for the Tobacco Retailer License Application?: No. The application is signed without a notary; each owner declares under penalty of perjury that the information and submitted items are true and correct.
How do I submit the Tobacco Retailer License Application?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Tobacco Retailer License Application doesn’t need a notary — but if you have another Emeryville form that does, a commissioned online notary can help.