Home Occupation Application/Permit Cancellation Form

The purpose of this form is to initiate a Home Occupation Application or Permit cancellation request to the Office of the Zoning Administrator at the Department of Buildings. Please note that upon submission of your cancellation request, the specified Home Occupation Permit (HOP) will be cancelled and the authority granted therein is no longer valid. Once the HOP is cancelled, the permit cannot be reactivated. If you wish to conduct this business activity at a later time, a new application, supporting documents, and fees will be required.

Cancellation requests are reviewed and processed within three (3) business days from the date of submission. Once the application/permit has been cancelled you will receive an e-mail notification informing you that your permit/application has been cancelled.

Permit Number

Name of Business (Name on HOP)

Business Entity Type

Please Note: In case of a partnership or corporation, upload a statement signed by partner or all corporate officers must accompany this request. The name and address on the Home Occupation Permit must be the same as the filer of this request for cancellation. The responsibility for notifying the DC Department of Finance and Treasury rests with the permit holder.

Reason for Cancellation Request

Describe Reason for Cancellation

Upload Home Occupation Permit

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Attestation and Signature

I certify that the above statements on this cancellation form 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.

Permit Holder Signature

First Name

Last Name

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I the undersigned permit holder of the subject property address listed on the permit/application, would like to cancel the following permit/application. By this form, I am the responsible party who will address any issues or concerns regarding this cancellation request. Please update your records to reflect this cancellation and contact me if additional information is needed.

Need Assistance? Please contact the Office of the Zoning Administrator by phone at (202) 442-4576 or by e-mail at dcracs@dc.gov and include the Home Occupation Permit Number and Property Address in the subject line.