Columbia, MO · Boone County

Medical Marijuana Facility License Application

This application requests a City of Columbia license for a medical marijuana cultivation, dispensary, manufacturing, or testing facility and is filed by the business applicant and required owners or representatives.

At a glance

Issued by
City of Columbia · Columbia, Boone County, Missouri
Notarization
Required: sign this form in front of a notary before filing it.
Official source
como.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index
Detailed form~25 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 application asks for business and ownership details, applicant background information, facility and premises information, and required supporting documents. Columbia uses it to review a facility license request for the license year shown on the form; applicants must also provide plans, fees, proof of the right to use the premises, and other listed materials. The applicant’s sworn statement appears near the end of the application.

Who needs it

A business seeking a Columbia license for a medical marijuana cultivation, dispensary, manufacturing, or testing facility must complete this form with the required owners or representatives.

Why it needs a notary

The form includes a jurat stating “Subscribed and sworn to before me”; the licensee who makes the sworn application statement signs before the notary.

How to get this notarized

  1. 1

    Download the Application

    Get the medical marijuana facility license application and review its instructions and required supporting materials.

  2. 2

    Fill Out the Form

    Complete the applicable business-entity and applicant sections, facility details, and required disclosures. Gather the supporting items listed on the form.

  3. 3

    Book an Online Notary

    Arrange a session with a commissioned online notary for the sworn statement at the end of the application.

  4. 4

    Sign on Video

    Show identification and sign the sworn statement during the live video session as directed by the notary.

  5. 5

    Submit to the City

    Send the notarized application, fees, and required supporting materials to the City of Columbia using its current submission instructions.

Preview the form

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

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Info

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 get the application notarized online?
Complete the application, then book with a commissioned online notary. Sign the sworn statement during the video session when instructed, and submit the notarized application and required materials to Columbia.
Do I need to sign in front of a notary?
Yes. The application includes a subscribed-and-sworn jurat, so the licensee making the statement signs before a notary and swears or affirms that the application statements are true.
What supporting items does the application list?
The form lists security, operation and management, and emergency response plans; license and background-check materials; fees; proof of the right to use the premises; and a surrounding-area map, among other items.
Can I use an online notary for this Missouri form?
Missouri authorizes remote online notarization by its own notaries under RSMo §486.1100 to §486.1205. Ask Columbia whether it accepts a remotely notarized application before submitting.
Where should I submit the completed application?
The form lists [email protected] and identifies City of Columbia departments involved in review. Confirm the current submission method and requirements with the city; confirm with the city or town if unsure.

Ready to notarize your Medical Marijuana Facility License Application?

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