Gardena, CA · Los Angeles County
Tobacco Retailer Permit Application
Businesses apply for a Gardena tobacco retailer permit by providing business and ownership details and answering questions about relevant convictions.
What this form is
This application is for a business seeking a Gardena tobacco retailer permit. It asks for business and applicant contact information, ownership details, and whether the applicant, agents, or employees have been convicted of a tobacco-related felony or misdemeanor within the past six years. The applicant signs a declaration under penalty of perjury; the form also lists required documents for office use.
Who needs it
A business seeking a Gardena tobacco retailer permit should complete this application and provide the requested business, applicant, and ownership information.
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; the applicant declares under penalty of perjury that the statements are true and correct.
How to submit this form
- 1
Download the Application
Download the Tobacco Retailer Permit Application PDF.
- 2
Complete the Application
Print or type the requested business, applicant, and ownership information, and answer the conviction question.
- 3
Gather Required Documents
Check the form's required-documents section and gather the City Business License and BOE-Tobacco Retailer Permit listed there.
- 4
Sign and Submit
Sign and date the declaration, then submit the application to the city department named on the form.
Frequently asked questions
- Do I need a notary for the Tobacco Retailer Permit Application?
- No. The application has no notary block; the applicant signs a declaration under penalty of perjury that the statements are true and correct.
- What information does the application request?
- It requests business and applicant contact details, ownership information, and an answer about relevant tobacco-related convictions within the past six years.
- How do I submit the Tobacco Retailer Permit Application?
- The form does not provide submission instructions. Submit it to the city department named on the form and check the city website for current contact details.
Need something notarized?
This Tobacco Retailer Permit Application doesn’t need a notary — but if you have another Gardena form that does, a commissioned online notary can help.