Business and Professions Code section 26260 allows the Department of Cannabis Control to release non-public licensee information to financial institutions to help licensees access financial services.

Financial institutions must use this form to request licensee information under these provisions. This form must be completed and signed by a representative of the financial institution and submitted using a method that verifies identity, such as by submitting via their financial institution-issued email address.

Information will only be provided when the licensee has authorized its release by submitting a waiver to the Department identifying the specific financial institution permitted to receive the information.