Required REGULATED BUSINESS Application Forms

Regulated Licensing Application Packet
Regulated Licensing Application Packet is required for all regulated licenses and is accepted by appointment only.  Additional items required are identification documents (click items 6 - 10 below) and a complete copy of your lease or evidence of property ownership (click item 2).  You may find our Regulated Checklist helpful for assembling your regulated package. 

1.   Clark County Business License Application Form
2.   Proof of Rights to Property 
3.   Request for Temporary License
4.   Personal History Form
5.   Authorization to Release Information
6.   Birth Certificate (see instructions)
7.   Color Photos (see instructions)
8.   Driver’s License (see instructions)
9.   Passport (see instructions)
10. Business Supplemental Questionnaire 

Did you know that you can apply online?  First, follow our 10 Easy Steps to the online application.  Next, skip item 1 above and then proceed to item 2.  

The additional required documents (items 2 - 10) can be accepted by appointment only.  Please call us at (702) 455-0174 for scheduling.

  1.  Clark County Business License Application Form                                        Back to Top
    The Clark County Business License Application Form is the main part of the application and must be completed. The form has specific directions.  Please be sure to read it carefully and fill out the document completely.  If you've applied online, skip this item and proceed to item 2.            
  2. Proof of Rights to Business Property
    LEASE/RENT – If you are leasing or renting a location, a copy of the signed agreement with the Owner/Landlord is required OR
    PROOF OF OWNERSHIP – A copy of Deed or Assessor Record
  3. Request for Temporary License                                                          Back to Top
    If you are requesting a temporary regulated license as a part of your application you may submit a completed Temporary License Request Form together with your application package. A copy of a Bill of Sale, a Lease Agreement, or Sharing Space Agreement is typically required.
  4. Regulated License Application Personal History Form
    Each applicant for a regulated business license will be required to complete a Personal History Form detailing their personal history, including personal references, legal history, family connections and history, and past residence information. This form requires notarized signatures in several places. Please provide one original and 1 copy of the LVMPD Personal History Form together with a cashier’s check, corporate check or money order payable to LVMPD in the amount of $300.00 per applicant.  LVMPD does not accept personal checks.
  5. Authorization to Release Information
    TWO (2) original signed and notarized Las Vegas Metropolitan Police Department Authorization to Release Information forms are required. 
  6. Birth Certificate
    A certified copy and a copy of a birth certificate or naturalization paper for each applicant is required. A passport will not be accepted in lieu of a birth certificate or naturalization paper.
  7. Color Photos
    Two (2) recent, passport size color photographs are required.
  8. Driver’s License
    Two (2) copies of a driver's license (front and back) is required for each individual applicant. A passport will not be accepted in lieu of a driver's license.
  9. Passport                                                                                                 Back to Top
    Two (2) copies of the applicant's passport is required, if the applicant has one.
  10. Business Supplemental Questionnaire
    In addition to the Personal History Form, a Business Supplemental Questionnaire may be needed for certain license categories, to complete the necessary financial background investigation, in relation to the business.  A copy of the applicant's past three (3) years of federal income tax filings and last three (3) months of bank statements are required to be attached to the form.  

    For your reference we have provided the most common regulated license activities requiring this form and supplemental documentation:

    Regulated License Summary

Please feel free to contact our office at (702) 455-0174 or CHAP@clarkcountynv.gov if you wish to confirm this requirement applies to your business activities.  

Use our Online Application to submit your Clark County Business License application!  Once you submit your application and pay your licensing fees, you will receive a confirmation email and be able to check the status of your pending application online.  Regulated and Liquor and Gaming licenses require additional information that can be dropped off or mailed to our office to complete the application process.                                                                                                    Back to Top

Required Forms for Other Types of REGULATED Business Activities

Application for Auction Permit
Application for Certified Reflexologists and Reflexology Establishments
Application for Massage Establishment/Business: Applicant/Owner is not a Massage Therapist
Application Permit for Rock Musical Concert

Required Forms for Regulated Professional Promoters License
Supplement to Application for “Rock” Musical Concert Promoter License

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

Application for Certified Reflexologists and Reflexology Establishments
The Reflexology Application Affirmation and Designated Manager Form is required for businesses involving reflexology.

Application for Massage Establishment/Business: Applicant/Owner is not a Massage Therapist
If you will be owning/operating massage business or massage establishment and not personally administering massage, you must sign an affidavit and have it properly notarized. It is unlawful to administer massage in unincorporated Clark County unless or until you have been issued a work identification card for massage therapy by the LVMPD.

Application Permit for Rock Musical Concert
Application Permit for Rock Musical Concert is required for each concert staged within an unincorporated area of Clark County.  

Required Forms for Regulated Professional Promoters License
See required forms for professional promoters to promote nightclubs, in addition to the application.

Supplement to Application for “Rock” Musical Concert Promoter License
A completed Supplement to Application for Rock Concert Promoter Addendum is required per Clark County Code Section 6.65.040.

Other BUSINESS LICENSE Forms

Change Forms
Complaint Form
Fictitious Firm Name Form
Out of Business Form
Regulated License Summary Sheet
Request for Duplicate License Form
Request for Public Records
Request for Refund Form
Request to Surrender Regulated Business License Form

Change Forms                                                                                                              Back to Top 
Change Forms packet includes: 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.                                       

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.

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.

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

Regulated License Summary Sheet
The Regulated License Summary information provides the main types of businesses available in a two (2) page handout.

Request for Duplicate License Form
Obtaining a duplicate license can be accomplished by completing the Request for Duplicate License Form.  License reprint fee $5.00.

Request for Public Records
Request for Public Records can be obtained by completing the Public Records Request Form.

Request for Refund Form
Request for monies to be refunded can be accomplished by completing the Request for Refund Form.

Request to Surrender Regulated Business License Form
Surrender of your regulated business license can be accomplished by completing the Request to Surrender Business License Form.

Last modified at 2/3/2017 16:30 by System Account