* Required

Business Name
Corporate Name (if applicable)
Business Address (Must be physical location, not a Post Office Box)	Verifying Address... Verified! Not recognized as a valid USPS address. Valid USPS address but is missing UNIT/STE #. Valid USPS address but UNIT/STE # is not recognized. PO Box is not allowed in business address. Verify Address Edit
Mail Address	Same as address above
	Verifying Address... Verified! Not recognized as a valid USPS address. Valid USPS address but is missing UNIT/STE #. Valid USPS address but UNIT/STE # is not recognized. PO Box is not allowed in business address. Verify Address Edit
Business Description
Ownership Type	Corporation Limited Liability Company (LLC) Limited Partnership (LP) Partnership Sole Proprietorship Trust
Employee Count *
Please provide your gross receipts (if not operating, please estimate). If you are not physically located in Sacramento City limits, you are only required to report gross receipts generated within Sacramento City limts. *
Start Date in City Of Sacramento (estimate if in the future)
Contact Information
Phone
Mobile Phone
Fax
Website
Email Address
State Seller's Permit# (Required for Retail)
FEIN
SEIN
Contact Preference	Contact me by email whenever possible, in order to ensure timely notices and help protect the environment by conserving resources.
The SIC Code is a requirement by the State of California, Senate Bill 205. Enter the first 3 characters of your SIC Code or business description in the section below. As you enter the first 3 characters, a list of SIC Codes will appear. Select the one that applies to your business.
SIC Code	Type in at least 3 characters to search for SIC...
State License Information (Contractor, Medical, CAMTC, etc.)
State License #
State License Type
State License Expire Date
State License Verification *
Additional Information
Are you a City of Sacramento Vendor or doing business with a City of Sacramento Department?	---Select---N/ANoYes
Are you working with the Economic Development Department?	Yes No
Does your business sell alcohol? *	---Select---N/ANoYes
Industrial General Permit (IGP) Waste Discharge ID
Industrial General Permit (IGP) Non-Exposure Cert
Industrial General Permit (IGP) Notice of Non-Applicability (NONA) ID
Is your business an industrial facility?	Yes No
If your business is renting residential properties or rooms (hotels/motels/short term rentals), please provide the number of rental units.
Are you operating out of your home? If yes, please review information about the Home Occupation Permit. Home Occupation Permit. *	---Select---N/ANoYes
Do you have employees? If yes, please be aware that you must comply with building code requirements and Home Occupation Permit restrictions regarding the number of customers/clients at the home. *	---Select---N/ANoYes
Number of employees *
If you are operating your business from your home, will clients/customers come to the home? If yes, please be aware that you must comply with building code requirements and Home Occupation Permit restrictions regarding the number of customers/clients *	---Select---N/ANoYes
I have read the home occupation permit application information sheet and, if a permit is issued, will comply with the restrictions, special conditions, and terms of the home occupation permit. If yes, you are agreeing to the terms above. *	---Select---N/ANoYes
I understand that violation of these regulations may result in a penalty being assessed and/or revocation of the home occupation permit. If yes, you are agreeing to the terms above. *	---Select---N/ANoYes
Which company provides your garbage service? If you are located outside of Sacramento City limits please select "Not Within City Limits" If you are a home based business please select "Home Business" *	---Select---AtlasCity of SacramentoOtherRepublicSelf-HaulWaste Management
What is the sexual orientation of the business owner? Please select an option below. *	---Select---- Prefer not to say- Preferred response not listedAsexualBisexualGayHeterosexualLesbianPansexualQueerQuestioning
What is the ethnicity of the business owner? Please select an option below. *	---Select---- Prefer not to say- Prefer to self-describeAsianBlack or African American (not of Hispanic origin)Filipino (not of Hispanic origin)Hispanic or Latino/LatinxMiddle Eastern or North AfricanNative American/Alaska Native(not Hispanic origin)Native Hawaiian or other Pacific IslanderWhite (not of Hispanic origin)
Does your business qualify under as a Diverse Business Enterprises (DBE)? *	---Select----- Does not qualifyDisabled Veteran Business Enterprise (DVBE)LGBTQ Business EnterpriseMinority Business Enterprise (MBE)Small Business Enterprise (8(a))Veteran Owned Business Enterprise (VOBE)Women Business Enterprise (WBE)
What is the gender identity of the business owner? *	---Select---- Prefer not to say- Preferred response not listedGender non-conformingGenderqueerIntersexManNon-binaryQuestioningTwo-SpiritWoman
File Attachments (if required).
Other Attachments
File Description
	*This file type is not allowed. List of supported file types.
Proof of Exemption
File Description
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*Cumulative file size can not exceed 89MB. Please reduce the size of your files and try again.