Scotts Valley, CA · Santa Cruz County
Tobacco Retail License Application
Retailers use this application to request a new Scotts Valley tobacco retail permit, renew or reissue one, or report a change of ownership.
What this form is
This application is for a new tobacco retail permit, a change of ownership, an annual renewal, or reissuance of a suspended or revoked permit. It asks for business and ownership details, contact information, and a State of California Board of Equalization Tobacco Retail License number, with a copy of that license attached. Applicants also affirm that their information is complete and accurate.
Who needs it
Tobacco retailers applying for a new permit, annual renewal, reissuance, or change of ownership in Scotts Valley need this application.
How to submit it
Return the application in person or by mail to the Scotts Valley Police Department, 1 Civic Center Drive, Scotts Valley, CA 95066. For more information, call 831-440-5670.
About notarization
This application is signed and dated without a notary; it asks for no notarized or sworn attachment.
How to submit this form
- 1
Download the Application
Download the Tobacco Retail License Application PDF.
- 2
Complete the Application
Choose the application type and fill in the business, ownership, and contact information requested.
- 3
Attach the License Copy
Include a copy of the State of California Board of Equalization Tobacco Retail License.
- 4
Sign and Date
Sign and date the affirmation and certification.
- 5
Submit to the Police Department
Return the application in person or by mail to the Scotts Valley Police Department at 1 Civic Center Drive, Scotts Valley, CA 95066.
Frequently asked questions
- What is the Tobacco Retail License Application for?
- Retailers use it to apply for a new tobacco retail permit, annual renewal, reissuance of a suspended or revoked permit, or a change of ownership in Scotts Valley.
- Who needs to complete this application?
- The applicant provides business and ownership information, contact details, and a State of California Board of Equalization Tobacco Retail License number. A copy of that license must be attached.
- Do I need a notary for the Tobacco Retail License Application?
- No. The application is signed and dated without a notary, and it asks for no notarized or sworn attachment.
- How do I submit the Tobacco Retail License Application?
- Return it in person or by mail to the Scotts Valley Police Department, 1 Civic Center Drive, Scotts Valley, CA 95066. Call 831-440-5670 for more information.