Vending Business License Online 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 Vending Division cancel the following: Vendor Business License, Vendor Employee Badge, Mobile Site Permit and/or Sidewalk Permit.

Please note that upon submission of your cancellation request, the specified Vending License, Badge or Permit will be cancelled and the authority granted therein is no longer valid. Once the Vending License, Badge or Permit is cancelled, it 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 VENDING LICENSE.***

What would you like to cancel today?

How many Licenses, Badges, or Permits will you cancel today?

How many Permits will you cancel today?

Input below the License, Badge or Permit Number(s) to be cancelled.Please ensure your input matches the following formats:Vendor Business License (i.e., 19CAP#######)Vendor Employee Badge (i.e., VEB-#####)Mobile Site Permit (i.e., VSP-#####)Sidewalk Site Permit (i.e., VSP-#####)

License, Badge or Permit Number

VIN Number

#2 Permit Number

#2 VIN Number

#3 Permit Number

#3 VIN Number

#4 Permit Number

#4 VIN Number

#5 Permit Number

#5 VIN Number

License, Badge or Permit Number

Reason for Cancellation

Describe Reason for Cancellation

Name of Business

Trade Name (if applicable)

Title of Requestor

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

Phone Number

Requestor's Email Address

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.

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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.

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.