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Commercial Industrial Hemp Processor Application (Submit Online)

  1. Application Type
  3. Section 1 Legal Name
    For background purposes, use full legal name. This name will also be printed on applicant’s permit.
  4. Section 2 Applicant's Current Permit Number (if renewal)
  5. Section 3 Personal Information
  6. In years
  7. Gender
  8. U.S. Citizen
  9. Have you been convicted of a felony?
  10. Section 4 Contact Information
  11. Section 5 Business Information
  12. Section 6 Physical & Mailing Address
    Physical address of any buildings that are owned/leased by the company and used in any part of the processing operation.
  13. Physical
  14. Mailing
    For official correspondence with our office.
  15. Section 7 Officers, Proprietors, Partners of Entity, and Employees
    Each owner of more than a 10% interest in the processing operations, as well as employees.
  16. Type
  17. In years
  18. Gender
  19. U.S. Citizen
  20. Have you been convicted of a felony?
  21. Type
  22. In years
  23. Gender
  24. U.S. Citizen
  25. Have you been convicted of a felony?
  26. Type
  27. In years
  28. Gender
  29. U.S. Citizen
  30. Have you been convicted of a felony?
  31. If more space is needed for individuals, upload their complete information as supporting documentation below.
  32. Section 8 Type of Hemp Processing Method Used
  33. Section 9 Applicants Signature
  34. Under the penalties imposed by K.S.A. 21-3805, I declare that I have examined this application and any documents submitted in support thereof, and to the best of my knowledge and belief, they are true, correct and complete. I also certify that I am familiar with all published state laws and local ordinances relating to hemp processing for the location(s) in which I intend to do business.
  35. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  36. Only PDFs are accepted
  37. Supporting Documentation
    Additional officers, proprietors, partners of entity and/or employees.
  38. Policies and Procedures Manual
  39. Fingerprint cards, signed Consent to Search forms and criminal background checks for applicant, additional officers, proprietors, partners of entity and/or employees
  40. Waiver and FBI Privacy Form with ID Verification

  41. Code Footprints
  42. Supporting documentation can be provided after application is submitted if necessary.
    Supporting documents can be submitted to after application is filed.
  43. Once your application is approved, you will be notified of any fees that are due.
  44. Leave This Blank:

  45. This field is not part of the form submission.