Home Based Business License Online Form Home Based Business License – Online Business InformationBusiness Name(Required) DBA Payment Confirmation Number from Online Payment System(Required) Number of employees(Required) Detailed Description of Business(Required) If any, please list license numbers (CCB, PB, etc.) Local Contact Name(Required) Business Phone Number(Required)Business Email Phyical Address of Business (No PO Boxes)(Required) Street Address City State / Province / Region ZIP / Postal Code Business OnwershipBusiness Owner Name(Required) Owner Phone number(Required)Owner Email(Required) Business Mailing Address(Required) Street Address City State / Province / Region ZIP / Postal Code