1100 4th Street S.W., Washington, DC, 20024, US
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upon submission of your cancellation request, the specified BBL will be cancelled and the authority granted therein is no longer valid.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.'
Reason for Cancellation
Is the BBL expired?
Premise Address (Location of Business Operation)
Full Name of Party Requesting Cancellation
Do you have possession of your Basic Business License?
Upload Your Basic Business License.
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.
DC INSPECTOR GENERAL HOTLINE: If you are aware of corruption, fraud, waste, abuse, or mismanagement involving any DC Government agency, official or program, contact the Office of the Inspector General (OIG) at 202-727-0267 or 1-800 521-1639 (toll free). All reports are confidential and you may remain anonymous by law. Government employees are protected from reprisals or retaliation by their employers for reporting to the OIG. The information you provide may result in an investigation leading to administrative action, civil penalties, or criminal prosecution in appropriate cases.