Do I need a notary for the Retail ESD Establishment Form?

No. The owner signs and dates this form without a notary. If the establishment lacks a Health Department-approved identification-checking policy, the form requests that a policy be attached for approval.

What information does the Retail ESD Establishment Form ask for?

It asks for establishment and owner contact details and answers about location, retail food sales, age restrictions, and an identification-checking policy.

How do I submit the Retail ESD Establishment Form?

The form does not provide submission instructions. Submit it to the city department named on the form and check the city website for current contact details.

Westfield, MT · Union County

No notary required

Retail Electronic Smoking Device Establishment Form

Retail electronic smoking device establishments use this form to provide business and owner details and answer questions for a Westfield license application.

What this form is

This form gathers establishment and owner contact information for a retail electronic smoking device license application. It asks about the establishment’s proximity to parks or recreational fields and schools, retail food sales, age restrictions, and an identification-checking policy. The form lists a $1,000 license fee and requests an attached policy for approval if the establishment does not have a Health Department-approved policy.

Who needs it

Owners of retail electronic smoking device establishments use this form to apply for a Westfield license.

How to submit it

The form lists a $1,000 license fee but does not give submission instructions. Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This form is signed and dated without a notary; the owner signs and dates it, and an identification-checking policy is attached only if no approved policy exists.

How to submit this form

1
Download The Form
Download the Retail Electronic Smoking Device Establishment Form.
2
Complete The Form
Enter the establishment and owner information, answer each question, and sign and date the form.
3
Gather Any Attachment
If you do not have a Health Department-approved identification-checking policy, attach your policy for approval.
4
Submit To The City
Submit the form to the city department named on it; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Retail ESD Establishment Form?: No. The owner signs and dates this form without a notary. If the establishment lacks a Health Department-approved identification-checking policy, the form requests that a policy be attached for approval.
What information does the Retail ESD Establishment Form ask for?: It asks for establishment and owner contact details and answers about location, retail food sales, age restrictions, and an identification-checking policy.
How do I submit the Retail ESD Establishment Form?: The form does not provide submission instructions. Submit it to the city department named on the form and check the city website for current contact details.

Need something notarized?

This Retail Electronic Smoking Device Establishment Form doesn’t need a notary — but if you have another Westfield form that does, a commissioned online notary can help.