Form Summary
Use this form to Disclose your Ownership / Organization structure
Form Number
GC4-021
License Type
Licensee Type
Entity Type
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A .gov website belongs to an official government organization in the United States.
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Alert: Effective October 18, 2024, all organizational licenses will expire June 30th. To achieve this, we may have licensed your organization for less than 1 year and charged you a prorated fee. All organizations now need to renew their licenses by June 30th and pay the standard licensing fee. If you have any questions, you can contact a Licensing Specialist at (360) 486-3441 or licensing@wsgc.wa.gov.