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Skip Navigation LinksClark County, NV > County Services > Business License > Business License Forms

Business License Forms

       
These forms will be used for applications mailed or faxed to our office. All forms are in Adobe's PDF Format.  Download Adobe's Free Acrobat Reader.
  1. General Licensing Forms

  2. Business License Supplement Form

  3. Liquor & Gaming Licensing Forms

  4. Affirmation of Compliance (Industrial Insurance) Form

  5. Compliance/Exemption Form (SB356 )

  6. Fictitious Firm Name (County Clerk's Office) Form

  7. Complaint Form

  8. Fire Department Permit Survey Form

  9. Pedicabs - Map of Restricted Areas

  10. Request for Refund Form

  11. Request to Surrender Liquor License Form

  12. Request to Surrender Gaming License Form

  13. Request to Surrender General Business License Form

  14. Out of Business Form

  15. Child Care Licensing Office

  16. Change Forms

  17. Application for Auction Permit

  18. Authorization for Release of Information Upon Sale of Transient Lodging Establishment

  19. Request for Statement of Seller's Transient Lodging Tax Liability 

 
 
Form Descriptions
 

  1. Nevada Business Registration Form:  The Nevada Business Registration Form (NBR) is the main part of the application and must be completed.   An advantage of this form is that it is also utilized by most state agencies, therefore you do not have to repeat all the pertinent information to each agency.  The NBR has specific directions, please be sure to read it carefully and completely fill out the document

  2. Business License Supplement Form:  The Business License Supplement is a form for the Business License Department and must also be completed.

  3. Liquor & Gaming Licensing Forms:  Forms for Key Employee, Owner/Officer/Trustee/Lender, Liquor, Gaming, Liquor and Gaming and Miscellaneous forms can be found at this link.

  4. Affirmation of Compliance (Industrial Insurance) Form :  Industrial Insurance requires an Affirmation of Compliance Form, which indicates you have complied with industrial insurance coverage requirements in Nevada (NRS616).   The form needs to be completed; "signed in the presence of a Business License Technician"; and submitted to the Business License Office prior to the issuance of a business license.   If this form is mailed or faxed to our office, it must have the signature notarized.  If you have questions or need more information regarding this form, contact the State of Nevada, Department of Business & Industry, Division of Industrial Relations,  Industrial Insurance Regulation Section , 1301 North Green Valley Parkway, Suite 200, Henderson, NV  89104, (702) 486-9000.

  5. Compliance/Exemption Form (SB356 ) :  Senate Bill 356 requires Clark County Business License Department to ensure that business license applicants are in compliance with court orders dealing with child support payments.  This must be completed in order to process your business license application.

  6. Fictitious Firm Name Form :  Need to file a Fictitious Firm Name? Read about the County Clerk requirements if you plan to officially "name" your business. There is some excellent information for you on their website and you will have all the information you need to file your fictitious firm name. This form needs to be filed prior to applying for a Business License.

  7. Complaint Form:  All complaints must be received in writing.  The complaint form contains all the information we need to investigate a complaint including a return address and a fax number.

  8. Fire Department Permit Survey Form:   Completion of the Clark County Fire Department's Permit Survey Form is required of all applicants. 

  9. Pedicabs - Map of Restricted Areas:   Clark County code proposed amendment to 14.42 definition of "Restricted Area".

  10. Request for Refund Form:  Request for monies to be refunded can be accomplished by completion of this form..

  11. Request to Surrender Liquor License Form:  Surrender of your liquor license can be accomplished by completion of this form.

  12. Request to Surrender Gaming License Form:  Surrender of your gaming license can be accomplished by completion of this form.

  13. Request to Surrender General Business License Form:  Surrender of your general business license can be accomplished by completion of this form.

  14. Out of Business Form:  Complete this form to notify Clark County Business License that your business is no longer operating.

  15. Child Care Licensing Office:  The Child Care Licensing Office licenses and inspects child care facilities in the unincorporated area of Clark County, Nevada; provides referrals to licensed child care facilities; investigates complaints concerning unlicensed care and complaints concerning licensed facilities; and provides information to those interested in obtaining a business license for child care. 

  16. Change Forms:  Checklist for Change of Business License; Application for Change of Business License (including Applicable License Changes and Fees) and Fire Permit Survey are included in this packet.

  17. Application for Auction Permit:  Instructions and application for Auction Permit are included in this link.

  18. Authorization for Release of Information Upon Sale of Transient Lodging Establishment:  In conjunction with a request for Statement of Seller's Transient Lodging Tax Liability, provides permission for the Department to release private information about a transient lodging establishment's tax liability.

  19. Request for Statement of Seller's Transient Lodging Tax Liability:  Request for the Department to determine the liability of a transient lodging establishment for any transient lodging tax, fees, interest, and penalties owed. Must be accompanied by business and accounting records pertaining to the transient lodging tax.

 
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