Benicia, CA · Solano County

No notary required

Cannabis Public Safety License Application

Cannabis businesses seeking a public safety license complete this application and submit it with security plans and required supporting materials to Benicia’s Police Department.

What this form is

Applicants seeking a Cannabis Use Permit must also obtain a Cannabis Public Safety License and submit this application to the Police Department. It asks for applicant and business information, identification and business records, background investigation details, and security plans; the checklist also calls for a signed nondisclosure agreement and conceptual site and floor plans. The applicant signs an acknowledgment declaring the information true and correct under penalty of perjury.

Who needs it

Applicants seeking a Cannabis Public Safety License for a proposed cannabis business in Benicia must complete and submit this application.

How to submit it

Contact the Police Department at 707-746-4245 before submitting to arrange a nondisclosure agreement. Submit three hard copies with affiliated materials and associated fees to the Benicia Police Department, 200 East L Street, Benicia, CA 94510, by mail, courier, or in person.

About notarization

This document is signed without a notary; the applicant signs a declaration under penalty of perjury, but the document does not require notarization.

How to submit this form

  1. 1

    Download The Application

    Download the Cannabis Public Safety License Application PDF.

  2. 2

    Complete And Sign

    Complete the application and sign the acknowledgment declaring the information true and correct under penalty of perjury.

  3. 3

    Gather Required Materials

    Prepare the signed nondisclosure agreement, required business and identification records, security plan, and conceptual site and floor plans.

  4. 4

    Submit To The Police Department

    Contact the Police Department at 707-746-4245, then submit three hard copies with affiliated materials and fees by mail, courier, or in person.

Frequently asked questions

Do I need a notary for the Cannabis Public Safety License Application?
No. The applicant signs a declaration under penalty of perjury, but the document does not require notarization.
How do I submit the Cannabis Public Safety License Application?
Contact the Police Department at 707-746-4245 first to arrange a nondisclosure agreement. Submit three hard copies with affiliated materials and fees by mail, courier, or in person to the address listed in the application.
What materials accompany the application?
The checklist calls for a signed nondisclosure agreement, conceptual site and floor plans, and supporting identification and business records. The application also describes security-plan and background-investigation requirements.

Need something notarized?

This Cannabis Public Safety License Application doesn’t need a notary — but if you have another Benicia form that does, a commissioned online notary can help.