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.
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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
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Land Ownership or Lease Information
Attach a copy of the Pawnee Nation or Bureau of Indian Affairs approved agriculture lease.
File Upload
Browse Files
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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
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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
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Storage and/or Processing Location
Physical Address
City
State
Zip
Lat/Long
Name
Title
Signature
Clear
Date
-
Month
-
Day
Year
Date
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