Please submit the full name of the business, business address, mailing address. If your business is based from your Fullerton residence, please select code 49 for Home Occupation, when reviewing the drop down list of business activity categories. If your business is not based from your Fullerton residence, please select the category listed from the drop down list that best describes your business activity and be sure to also enter a detailed description of the business activity in the field provided for this purpose.

Business addresses must be a physical location, we do not accept business addresses from a U.S.P.S. P.O. Box or a Private Mail Box (PMB) address; however they are acceptable as a mailing address.

Please be as specific as possible when describing your business activity in the 'Description of Business' field area. Examples:

Vague descriptions that are too general include: Sales, Office, Warehouse, Consulting, Food, Service

Acceptable descriptions are: Online sales of clothing, jewelry, cosmetics etc., wholesale used cars, retail cell phones & trade-ins, telemarketing of household items, administrative office at home for off-site DJ services, mobile spray tanning services, auto detailing, CPA, attorney, architect, chiropractor, music composer, video production services, pool cleaning services, off-site catering services, etc.

Failure to provide all information requested will delay the processing of your application.

Please note that a Fictitious Business Name Statement (d/b/a) must also be registered with the County Clerk Recorders office PRIOR to registering with the City of Fullerton. Filing for your Business Registration Certificate will not be a confirmation of your business name filing with the Clerk Recorder.

* Required   

DBA/Business Name
Business Name
Business Address (Must be physical location, not a Post Office Box)	Verifying Address... Verified! Not recognized as a valid USPS address. Valid USPS address but is missing UNIT/STE #. Valid USPS address but UNIT/STE # is not recognized. Verify Address Edit
Mailing Address	Same as address above
	Verifying Address... Verified! Not recognized as a valid USPS address. Valid USPS address but is missing UNIT/STE #. Valid USPS address but UNIT/STE # is not recognized. Verify Address Edit
Describe Your Business Activity In Detail
Ownership Type	CORPORATION PARTNERSHIP SOLE PROPRIETOR TRUST UNKNOWN
Employee Count *
Please estimate what you think your gross receipts may be for the first 12 months of business. *
Start Date in City of Fullerton (estimate if in the future)
Contact Information
Business Phone Number
Cell Phone Number
Fax Number
Website Address
Email Address
Resale/Sales Tax Number
Federal ID Number
State ID Number
Contact Preference	Contact me by email whenever possible, in order to ensure timely notices and help protect the environment by conserving resources.
State License Information (Contractor, Medical, CAMTC, etc.)
State Agency License Number
State License Classification Type
State License Expiration Date
State License Verification *
Additional Information
Home Occupation	---Select---Business Code 49Contractor based from homeCottage food operationLarge child day care facilityLive in residential adult/elder care facilityMobile activity based from homeWork/Live studio unit
Square Footage
File Attachments (if required).  More Info
Cell towers - Please select More Info
File Description
	*This file type is not allowed. List of supported file types.
Residential Rental Income Property
File Description
	*This file type is not allowed. List of supported file types.
Commercial Rental Income Property
File Description
	*This file type is not allowed. List of supported file types.
Independent Contractors
File Description
	*This file type is not allowed. List of supported file types.
Employees/Professionals
File Description
	*This file type is not allowed. List of supported file types.
*Cumulative file size can not exceed 89MB. Please reduce the size of your files and try again.