List of Primary Personnel and Owner(s) (Cannabis Regulation) {LIC-4003-FORM}

LIC-4003-FORM - LIST OF OTHER PERSONNEL CONTACTS. This form is issued by the City of Los Angeles Department of Cannabis Regulation (DCR) for licensed cannabis businesses to update or remove non-owner personnel information. This form is used to report contact details—such as name, title, email, and ACA Reference ID—for Neighborhood Liaisons, consultants, attorneys, or other optional contact types associated with a cannabis business record. Each Neighborhood Liaison must have a phone number and email address to handle community complaints 24/7. This form is not intended for adding Owners, Primary Personnel or Authorized Agents, please refer to the proper forms and procedures for these contact types. www.FormsWorkflow.com