Apply for Temporary Alcoholic Beverage License: Intake Form

Please submit the following information via this online form, which is encrypted with SSL to help ensure the data you enter is secure.

Name*
Prefix First Middle Last Suffix
Email*
Enter Email Confirm Email
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Organization Information
Organization Name*
Please include the full legal business name including punctuation and the entity suffix (LLC, Inc., etc.)
Organization DBA ("Assumed Name")
Please include the full legal business name including punctuation and the entity suffix (LLC, Inc., etc.)
Organization Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Organization Phone Number*
Organization Fax Number
Organization Email Address
Organization Website
Organization EIN*
Event Information
Name of the Event*
Date(s) and Time(s) of the Event*
Include the month, date, year, and time the event begins and ends.
According to statute, the temporary license may be granted for up to 30 days.
Alcoholic Beverages to be Sold*
Which types of alcoholic beverage licenses do you wish to obtain for this event?
- Temporary beer by the drink
- Temporary wine by the drink
- Temporary liquor and wine by the drink
- Temporary liquor and wine auction by the package
Nature of the Event*
Describe the purpose(s) of the license and the nature of the event.
Include: 1) The type of activities being held; 2) The number of people estimated to attend the event; 3) The type of entertainment being used; 4) The food and beverages that will be provided; 5) Whether caterers are being used. If so, whether the caterer holds an ABC caterer’s license and whether the caterer will be serving alcoholic beverages; 6) Whether you will be providing alcoholic beverage tastings at your event. If so, what will be offered; 7) Why you think this event should be granted a temporary ABC license.
Advertising for the Event
Attach copies of any advertising, mailers, invitations, or handbills for the event.
Accepted file types: pdf, jpg, jpeg, bmp, gif, png, psp.
Applying on Behalf of an Organization
If the applicant is obtaining the temporary license on behalf of a non-profit, attach written documentation showing this relationship.
Accepted file types: pdf, jpg, jpeg, bmp, gif, png, psp.
Additional Information
Please include any additional information you would like our attorneys to know.
Disclaimer*
Our attorneys may review the information you submit for the purposes described on this website. The use of this form for communication with our firm does not establish an attorney-client relationship. Our review of the information sent to us will not preclude us from representing any other client if confidential information is sent through this form.
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Organization Information

Event Information