Please submit only one form per business/UBI number. Business Name * UBI Number (this is your 9-digit number) * License Type(s) * Retailer Producer Processor Producer/Processor Other (Labs, Transporters, etc.) Primary Contact First Name * Primary Contact Last Name * Primary Email Address * Alternate Email Address Do you already have a Secure Access Washington (SAW) account? * SAW authentication will be required to sign in to the new Traceability System; it only takes a few minutes to set up a SAW account at: https://secureaccess.wa.gov/myAccess/saw/select.do Yes No Do you use a third party software system (i.e. commercial product) to report traceability data? Yes No If so, what is the name of the product/vendor for your third party system (i.e. commercial product)? (Check all that apply and list any other applications in the comment box below) BioTrack GrowFlow GreenBits Mr. Kracken Traceweed WeedTraqr Other (enter information in the comment box below) Comments (enter additional information here) Do you anticipate using the new free online system provided by WSLCB to report traceability data? Yes No If yes, how many users do you expect need to be trained? 1 - 3 4 - 6 7 - 10 More than 10 CAPTCHAThis question is for testing whether you are a human visitor and to prevent automated spam submissions. What code is in the image? * Enter the characters shown in the image.