Hemp License Application

Hemp License Application
Applicant Information
Business Name
Business ID Number
First Name
Last Name
Mailing Address
City
State
Zip
Email Address
Phone Number
Please enter a valid phone number.

Subcontractor Information
Subcontractors Legal Name
Subcontractors Alias or Trade Name
Subcontractors Primary Business Address
Primary Business Address
City
Primary Business Address
State
Primary Business Address
Zip
Primary Business Address
Subcontractors Phone Number
Please enter a valid phone number.
Subcontractor Satellite Business Address
Satellite Business Address
City
Satellite Business Address
State
Satellite Business Address
Zip
Satellite Business Address
Subcontractor Officials or Employees Responsible for Communication to the Pawnee Nation

Person #1
Name
Phone Number
Please enter a valid phone number.
Email

Person #2
Name
Phone Number
Please enter a valid phone number.
Email

Land Ownership or Lease Information

Attach a copy of the Pawnee Nation or Bureau of Indian Affairs approved agriculture lease.
File Upload

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Field and Building Information

Detailed aerial photos (e.g. Google Maps, Oklahoma Cadastral) showing each field location relevant to the nearest municipality and navigable roads must be submitted with the application. Attach maps or blueprints for buildings used for cultivation.
Number of Individual Fields to Plant
Total Acres

Field 1
Township
Range
Sec
1/4 Sec
Field Center Lat/Long
Allotment Name
Allotment Number
Field Address
City
State
Zip
Variety of Industrial Hemp

Field 2
Township
Range
Sec
1/4 Sec
Field Center Lat/Long
Allotment Name
Allotment Number
Field Address
City
State
Zip
Variety of Industrial Hemp

Building Site 1
Physical Address
Building Lat/Long

Building Site 2
Physical Address
Building Lat/Long

Panting and Harvesting
Intended Planting Date(s)
Intended Harvesting Date(s)
Intended Use of Crops (Check all that apply)

Food/Beverage Fiber/Textiles/Biofuel Cosmetics/Beauty/Health Variety Trials/Research Seed Oil Cannabinoid Oils Other

Storage and/or Processing Location
Physical Address
City
State
Zip
Lat/Long
Name
Title
Signature

Clear
Date

Month Day Year
Date
Should be Empty:

Hemp License Application

Applicant Information

Subcontractor Information

Subcontractor Officials or Employees Responsible for Communication to the Pawnee Nation

Land Ownership or Lease Information

Field and Building Information

Panting and Harvesting

Storage and/or Processing Location