Olmsted County, MN · Olmsted County
Licensee Information
License applicants complete this form with personal and business details and return it with their license application to Olmsted County.
At a glance
- Issued by
- City of Olmsted County · Olmsted County, Olmsted County, Minnesota
- Notarization
- Not required: file this form without a notary.
- Official source
- olmstedcounty.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form provides licensee information that Olmsted County requires with a license application. It asks for the license type, applicant and business details, Social Security number, Minnesota tax identification number, and the applicant’s signature and date. Applicants who do not conduct business as a business entity and lack a Minnesota tax identification number can check the option stating that.
Who needs it
Anyone applying for a license through Olmsted County should complete this form and return it with the license application.
How to submit it
Return this form along with your license application. For questions, contact Vitals at [email protected] or (507) 328-7660.
About notarization
This document is signed without a notary; the applicant just signs and dates it, with no notarized or sworn attachment mentioned.
How to submit this form
- 1
Download The Form
Download the Olmsted County Licensee Information form.
- 2
Complete The Form
Enter the license type and requested applicant and business information, then sign and date the form.
- 3
Gather Your Application
Include this form with your license application.
- 4
Return The Form
Return the form along with your license application. Contact Vitals with questions.
Frequently asked questions
- Who completes the Licensee Information form?
- Applicants for an Olmsted County license complete this form and return it along with their license application.
- What information does the form request?
- It requests the license type, applicant and business details, Social Security number, Minnesota tax identification number or the applicable opt-out checkbox, and the applicant’s signature and date.
- Do I need a notary for the Licensee Information form?
- No. This document is signed without a notary; the applicant just signs and dates it, and no notarized or sworn attachment is mentioned.
- How do I submit the Licensee Information form?
- Return it with your license application. For questions, contact Vitals at [email protected] or (507) 328-7660.