Rifle, CO · Garfield County

Marijuana Business License Affirmation and Consent

This affirmation and consent is completed by a marijuana business license applicant or authorized agent and submitted to the City of Rifle with the application packet.

Standard form~15 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

The form asks the applicant or authorized agent to affirm that the application packet is true, correct, and complete, consent to a background investigation, and acknowledge how information may be used or disclosed. It also includes an affirmation about the business location. The City of Rifle form is submitted in lieu of specified pages of the state medical or retail marijuana business license application.

Who needs it

A marijuana business license applicant or authorized agent submits this affirmation and consent to the City of Rifle in lieu of specified state application pages.

Why it needs a notary

The form has a subscribed-and-sworn jurat, and the applicant or authorized agent must sign the affirmation in the presence of a notary.

How to get this notarized

  1. 1

    Download The Form

    Get the City of Rifle Marijuana Business License Affirmation and Consent.

  2. 2

    Fill In The Applicant Details

    Enter the business name, registered trade name, applicant name, title, and date.

  3. 3

    Book An Online Notary

    Arrange a remote notarization with a commissioned online notary.

  4. 4

    Sign On Video

    Sign the affirmation in the notary’s presence during the online session.

  5. 5

    Submit To The City

    Include the notarized form with your City of Rifle application packet in lieu of the specified state application pages.

Preview the form

The blank PDF straight from Rifle. Look it over, then upload your filled copy to start the notary session.

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You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I complete and submit this affirmation?
Fill in the business and applicant details, sign in front of a notary, and submit the completed form with your City of Rifle application packet in lieu of the specified state application pages.
Do I need to sign this form in front of a notary?
Yes. The form says it must be signed in the presence of a notary and includes a subscribed-and-sworn jurat.
Can I use a commissioned online notary?
Colorado authorizes remote online notarization by its notaries under C.R.S. §24-21-514.5. Confirm with the city or town if unsure whether the City of Rifle accepts this form notarized online.

Marijuana Business License Affirmation and Consent in other Colorado cities

Each city publishes its own version of this form. Pick the city where you’re filing.

Ready to notarize your Marijuana Business License Affirmation and Consent?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.