BBL Cancellation Request Form

You are required to notify the Department of Licensing and Consumer Protection that your licensed business activity has ended. You may use this form to notify the Department and to request that the Business Licensing Division cancel your Basic Business License (BBL).

Please note that upon submission of your cancellation request, the specified BBL will be cancelled and the authority granted therein is no longer valid. Once the BBL is cancelled, the license cannot be reactivated. If you wish to conduct this business activity at a later time, a new application, supporting documents/registrations and fees will be required.

***PLEASE NOTE THAT BY COMPLETING, SUBMITTING AND SIGNING THIS FORM, YOU CONFIRM YOUR AUTHORITY TO AFFECT THE CANCELLATION OF THIS BASIC BUSINESS LICENSE.***

NOTE: If using this form to withdraw an application for a Basic Business License, input the numerical portion of the application number. For example, if the application number is 'LAPP12345678,' enter only '12345678.'

BBL Number (8- or 12-digit number in the upper righthand corner of your Basic Business License).

Reason for Cancellation

Business No Longer Operating

Business Operated by a New Owner

Business Moved

Charitable Organization Grossing less than $25,000/year

Other

Describe Reason for Cancellation

Is the BBL expired?

Yes

Name of Business (Name on BBL)

Licensee Trade Name (if applicable)

Title of Requestor

Business' FEIN (##-#######) or Owner's SSN (###-##-####)

Requestor's Email Address

Requestor's Phone Number

Do you have possession of your Basic Business License?

Yes

If you no longer have possession of your license, indicate the circumstances under which you lost possession of the license and an approximate date of loss below.

Upload Your Basic Business License.

Click Here to Upload

I certify that the above statements on this application are true and complete to the best knowledge and belief. I agree to comply with all applicable laws and regulations of the District of Columbia. I/We understand that, anyone who makes a false statement on this form can be criminally prosecuted; and, if convicted, fined up to $1000, imprisoned up to 180 days, or both, under D.C. Official Code § 22-2405.

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

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