Application

For online application submission with electronic fee payment

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Please have all required documents scanned or saved ready for upload; including, but not limited to

  • Copy of final transaction documents for owner change application
  • List of additional 3PLPs to be used for physical distribution- include name of 3PLP and physical address from which product is distributed
  • Copy of home state license (out-of-state applicants)
  • Officers & Directors list
  • List of other states where licensure is held
  • Designated Responsible Party (DRP) Qualification Review Form
  • Disciplinary action documents (when applicable)

CRIMINAL HISTORY RECORDS (Background) CHECKS
Applicant facilities physically located in Louisiana:
A criminal history records (background) check is required for any individual person(s) who own greater than 10% interest in the applicant company and the designated responsible party (DRP) individual. Louisiana State Police has changed the process for criminal history record checks to an electronic fingerprint system. If applicable, have these individuals click the link below for instructions to apply for the criminal history records check.

Louisiana State Police Instructions

CHRck Link