Premises

FAQ Premises

Premises

PREMISES Licenses and Compliance 

 

Note!  If you will be submitting a new premises license application between November 1, 2024 and December 31, 2024, please pay the fee of $100 vs. $50.  The $100 fee is for premises licensed in 2025; it is likely that new applicants will not be licensed until then.  Paying the $100 fee now will save the time and effort to send another $50 check prior to licensure. Thank you!

PDF icon Premises License Application - Please do not submit more than 2 weeks prior to start of operations
PDF icon Premises Inspection Report (check-list)
PDF icon Notice of Inspection Rights
PDF icon Small Business Bill of Rights
PDF icon Anesthesia Log example
PDF icon Controlled Substance Dispensing/Administration Log example
PDF icon Controlled Substance Inventory Log example
PDF icon DEA Registered Reverse Distributor List - 8.24
PDF icon Premises Name Change / Change of Scope Request Form
PDF icon Duplicate Premises Wall License Request - Not needed for Renewal License pdf copy