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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. In years

  17. Gender

  18. U.S. Citizen

  19. Have you been convicted of a felony?

  20. In years

  21. Gender

  22. U.S. Citizen

  23. Have you been convicted of a felony?

  24. In years

  25. Gender

  26. U.S. Citizen

  27. Have you been convicted of a felony?

  28. If more space is needed for individuals, upload their complete information as supporting documentation below.

  29. Section 9 Applicants Signature

  30. 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.

  31. 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.

  32. Only PDFs are accepted

  33. Supporting Documentation

    Additional officers, proprietors, partners of entity and/or employees.

  34. Policies and Procedures Manual

  35. Fingerprint cards, signed Consent to Search forms and criminal background checks for applicant, additional officers, proprietors, partners of entity and/or employees

  36. Code Footprints

  37. Supporting documentation can be provided after application is submitted if necessary.

    Supporting documents can be submitted to after application is filed.

  38. Once your application is approved, you will be notified of any fees that are due.

  39. Leave This Blank:

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