Keizer, OR · Marion County
Marijuana Retailer Permit/Renewal Application
This application lets a marijuana retailer apply for or renew a Keizer permit, with the operator providing business, ownership, contact, and enterprise details.
- 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
Use this two-page application to request a new Keizer marijuana retailer permit or renew an existing permit. The operator provides retailer, ownership, contact, and business information, certifies compliance and the accuracy of the application, and signs the certification. The form states that renewal must be received at least 30 days before the permit expires and approved before its termination date.
Who needs it
A marijuana retailer operator applying for a new Keizer permit or renewing an existing permit must complete the application and certify its information.
Why it needs a notary
The operator signs before a notary, who completes the State of Oregon jurat stating the signature was subscribed and sworn before the notary.
How to get this notarized
- 1
Download the Application
Get the two-page marijuana retailer permit or renewal application from the City of Keizer.
- 2
Fill In the Application
Complete the retailer, operator, emergency contact, ownership, and enterprise sections, and prepare any additional pages or signage illustrations needed.
- 3
Book an Online Notary
Arrange a session with a commissioned online notary for the operator's jurat.
- 4
Sign on Video
The operator signs and swears to the application during the remote notary session; the notary completes the jurat.
- 5
Submit to the City
Send the completed application and required attachments to the City of Keizer.
Preview the form
The blank PDF straight from Keizer. Look it over, then upload your filled copy to start the notary session.
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 the marijuana retailer permit application?
- Provide the retailer, operator, emergency contact, ownership, and enterprise information. The operator must certify the application, sign before a notary, and submit it to the City of Keizer.
- Do I need to sign the application in front of a notary?
- Yes. The application includes a State of Oregon jurat requiring the operator to subscribe and swear to the application before a notary public.
- Can I use a commissioned online notary for this form?
- Oregon recognizes notarial acts performed by authorized officers of another state, and its Secretary of State FAQ confirms a properly notarized out-of-state remote online notarization is valid in Oregon. Use a commissioned online notary and confirm the city accepts the completed form.
- When should I submit a renewal application?
- The form says the renewal application must be received at least 30 days before the permit expires and approved before the termination date. Confirm with the city or county clerk if unsure.